Fareed Siddiqui (NPI# 1235236530, PAC ID# 8921031535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1235236530 |
| PAC ID by PECOS | 8921031535 |
| Professional Enrollment ID | I20050914000881 |
| Full Name | Fareed Siddiqui |
| Organization Legal Name | SUBURBAN RADIOLOGIC CONSULTANTS LTD |
| Address |
6545 France Ave S Suite 125 Edina MN 55435-2357 |
| Phone Number | 9524052777 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1999 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 2466357272 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240078 | FAIRVIEW SOUTHDALE HOSPITAL |
| 240207 | FAIRVIEW RIDGES HOSPITAL |
| 240050 | FAIRVIEW LAKES HEALTH SERVICES |
| 240141 | FAIRVIEW NORTHLAND REGIONAL HOSPITAL |
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 8990 Springbrook Dr Nw, Suite 140, Coon Rapids, MN 55433-5880 | 7637921900 | SUBURBAN IMAGING LLC |
| 6545 France Ave S, Suite 125, Edina, MN 55435-2357 | 9524052777 | SUBURBAN RADIOLOGIC CONSULTANTS LTD |
| 250 Thompson St, Saint Paul, MN 55102-2370 | 6512976504 | MIDWEST RADIOLOGY PA |
| Organization Legal Name | SUBURBAN RADIOLOGIC CONSULTANTS LTD |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan P Williams | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 11225 Ulysses St Ne, Suite 110, Blaine, MN 55434-4261 |
| Mark D Mcmillan | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522 |
| Paul Robert Oler | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 6545 France Ave S, Suite 125, Edina, MN 55435-2357 |
| Mark E Wilson | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Brian F Decesare | Interventional Radiology | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Jennifer Williams | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Karl T Nelsen | Physician Assistant | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| John A Coburn | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 6545 France Ave S, Suite 125, Edina, MN 55435-2357 |
| David A Asinger | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 11225 Ulysses St Ne, Suite 110, Blaine, MN 55434-4261 |
| Nihar S Shah | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Street Address |
6545 FRANCE AVE S SUITE 125 |
| City | EDINA |
| State | MN |
| Zip | 55435-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Xiaoyu J Hou | Internal Medicine | Fairview Clinics | 6545 France Ave S, Suite 150, Edina, MN 55435-2180 |
| Madhu K Emani | Medical Oncology | Minnesota Oncology Hematology, Pa | 6545 France Ave S, Suite 210, Edina, MN 55435-2281 |
| Virginia H Obrien | Occupational Therapy | Fairview Health Services | 6545 France Ave S, Edina, MN 55435-2131 |
| Paul Robert Oler | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 6545 France Ave S, Suite 125, Edina, MN 55435-2357 |
| Thomas Broback | Physical Therapy | Fairview Health Services | 6545 France Ave S, Suite 450, Edina, MN 55435-2122 |
| Arthi Venkatapthy | Physical Therapy | Fairview Health Services | 6545 France Ave S, Edina, MN 55435-2131 |
| Claudia Joan Hornibrook | Physical Therapy | Fairview Health Services | 6545 France Ave S, Edina, MN 55435-2131 |
| Marcia L Johnsrud | Physical Therapy | Fairview Health Services | 6545 France Ave S, Edina, MN 55435-2131 |
| Mohammed K Nashawaty | Hematology/oncology | Minnesota Oncology Hematology, Pa | 6545 France Ave S, Suite 210, Edina, MN 55435-2281 |
| Jennifer J Knapp | Nurse Practitioner | Clinic Sofia Obgyn Pa | 6545 France Ave S, Suite 490, Edina, MN 55435-2123 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan F Hunt | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Laura Loeding Bechtold | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Bonnie L Glenzinski | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Kimberly Lynn Mcclintick | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Susan E Anderson | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Julie A Stauffer | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Meredith N Butulis | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Breanna N Smith | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| David Gesensway | Hand Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Christopher M Larson | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Find all physicians in zip 55435 | |||
| City | EDINA |
| Zip Code | 55435 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | EDINA + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Fareed Siddiqui.
| 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.