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JAVED ILYAS SIDDIQI M.D. LLC NPI 1225587108


NPI Information

NPI: 1225587108
Provider Name: JAVED ILYAS SIDDIQI, M.D. LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
380 MERRIMACK ST
SUITE 2C
METHUEN, MA
ZIP 01844
Phone: (978) 689-0033
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JAVED ILYAS SIDDIQI, M.D. LLC is an obstetrics gynecology in Methuen, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JAVED ILYAS SIDDIQI, M.D. LLC NPI is 1225587108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

380 MERRIMACK ST
SUITE 2C
METHUEN, MA
ZIP 01844-870
Phone: (978) 689-0033
Fax: (978) 682-0033

The provider's authorized official is Joan Campbell .
The authorized official title is Billing Manager and has the following contact phone number (978) 244-0019.

The enumeration date for this NPI number is 10/3/2016 and was last updated on 1/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology56836MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110043613AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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