Sana Sultan Siddique (NPI# 1558613679, PAC ID# 0941530489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1558613679 |
| PAC ID by PECOS | 0941530489 |
| Professional Enrollment ID | I20190925002285 |
| Full Name | Sana Sultan Siddique |
| Organization Legal Name | PROSPECT HEALTH ACCESS NETWORK INC |
| Address |
204 E Chester Pike Suite 4 Crozer Keystone Gastroenterology Associates Ridley Park PA 19078-1709 |
| Phone Number | 6105214677 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 5698065142 |
| Number of Group Practice Members | 296 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390180 | CROZER CHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1010 W Chester Pke, 202 Subn Gastro Assoc, Havertown, PA 19083-3442 | 6107893510 | PROSPECT HEALTH ACCESS NETWORK INC |
| 204 E Chester Pike, Suite 4 Crozer Keystone Gastroenterology Associates, Ridley Park, PA 19078-1709 | 6105214677 | PROSPECT HEALTH ACCESS NETWORK INC |
| Organization Legal Name | PROSPECT HEALTH ACCESS NETWORK INC |
| Physicians | 316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Smith | Nurse Practitioner | Prospect Health Access Network Inc | 196 W Sproul Rd, 205 Healthplex, Springfield, PA 19064-2045 |
| Mark D Cassano | Psychiatry | Prospect Health Access Network Inc | 1260 E Woodland Ave, 200 Ctr Fam Hlth, Springfield, PA 19064-3969 |
| Milad Kosa | Internal Medicine | Prospect Health Access Network Inc | 501 N Lansdowne Ave, Dcmh, Drexel Hill, PA 19026-1114 |
| Rama Dahal | Internal Medicine | Prospect Health Access Network Inc | 1324 Macdade Blvd, Woodlyn, PA 19094-1501 |
| Katarzyna Calderon | Nurse Practitioner | Prospect Health Access Network Inc | 2700 Chestnut St, Chester, PA 19013-4867 |
| Arlin J Silberman | Psychiatry | Prospect Health Access Network Inc | 2600 W 9th Str, Community Hosp, Chester, PA 19013-2040 |
| Dequilla Hurt | Nurse Practitioner | Prospect Health Access Network Inc | 8 Morton Ave, Suite 303, Ridley Park, PA 19078-2217 |
| Sinae Rhee | Nurse Practitioner | Prospect Health Access Network Inc | 1220 Chester Pike, Sharon Hill, PA 19079-1902 |
| Lloydia Reynolds | Obstetrics/gynecology | Prospect Health Access Network Inc | 2100 Keystone Ave, Suite 707, Drexel Hill, PA 19026-1134 |
| Christine M Oh | Family Medicine | Prospect Health Access Network Inc | 500 Macdade Blvd, Milmont Park, PA 19033-3311 |
| Street Address |
204 E CHESTER PIKE SUITE 4 CROZER KEYSTONE GASTROENTEROLOGY ASSOCIATES |
| City | RIDLEY PARK |
| State | PA |
| Zip | 19078-1709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Hurwitz | Gastroenterology | Prospect Health Access Network Inc | 204 E Chester Pike, Suite 4 Crozer Keystone Gastroenterology Associates, Ridley Park, PA 19078-1709 |
| John Wade Seedor | Gastroenterology | Prospect Health Access Network Inc | 204 E Chester Pike, Suite 4 Crozer Keystone Gastroenterology Associates, Ridley Park, PA 19078-1709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin J Bergman | Rheumatology | 23 W Chester Pike, Suite 201, Ridley Park, PA 19078-1629 | |
| Robert Alexander Rhodes | Dermatology | 23 W Chester Pike, Suite 200, Ridley Park, PA 19078-1629 | |
| Emily D Rose | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Loretta F Brown | Addiction Medicine | 648 A E Chester Pike, Ridley Park, PA 19078-1701 | |
| Cory R Hawley | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Lee S Cohen | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Ronald B Phillips | Internal Medicine | 648 A E Chester Pike, Ridley Park, PA 19078-1701 | |
| Marc S Persson | Chiropractic | Perssonal Health Chiropractic LLC | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| Emily A Swonguer | Chiropractic | Perssonal Health Chiropractic LLC | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| David R Kalodner | Family Medicine | Internists Associates | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| Find all physicians in zip 19078 | |||
| City | RIDLEY PARK |
| Zip Code | 19078 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | RIDLEY PARK + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Sana Sultan Siddique.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.