Male or Other

Dr. Pervez A. Siddiqui MD

Diagnostic Radiology Physician in Boca Raton, FL(View on Map)

Full Name

Dr. Pervez A Siddiqui MD

NPI Number

1477533396

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/18/2006

Specialties

(Taxonomies)

Code

2085R0202X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Indiana
Texas

License Number

89399
01082784A
R0130

Contact
Information

Purpose

Mailing
Location

Address

9045 LA FONTANA BLVD STE 225
9045 LA FONTANA BLVD STE 225

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33434-5643
33434-5643

Country

US
US

Telephone Number

N/A
(561) 314-5377

Identifiers

Identifier

268692900

Identifier State

FL

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT
DIRECT
DIRECT

Endpoint

psiddiqui@hvi.medinformatixdirect.com
psiddiqui247182@direct.urmc.rochester.edu
psiddiqui247182@direct.urmc.rochester.edu

Endpoint Description

Unknown
Unknown
Unknown

Use

Direct
Direct
Direct

Content Type

Unknown

Other

Other Description:
OTHER

Other

Other Description:
OTHER

Affiliation

N
N
N

Endpoint Location

185 Rykowski Ln Ste 101Middletown, NY109414055US
601 Elmwood AveRochester, NY146420001US
601 Elmwood AveRochester, NY146420001US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/17/2023

Provider Address

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Male or Other

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