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Dr. Mumtaz A Siddiqui, MD
Cardiovascular Disease Physician in Normal, Illinois
NPI 1679569925

Mumtaz A Siddiqui is a Cardiovascular Disease Physician based in Normal, IL and is specialized in Cardiovascular Disease. Mumtaz A Siddiqui practices in Normal, IL and has the professional credentials of MD. The NPI Number for Mumtaz A Siddiqui is 1679569925 and holds a License No. (Illinois).

The current practice location address for Mumtaz A Siddiqui is 1302 Franklin Ave, Normal, IL and can be reached out via phone at 309-828-1166.

Location: 1302 Franklin Ave, Normal, IL, 61761-3551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679569925
Provider Name
Mumtaz A Siddiqui
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1302 Franklin Ave, Normal, IL, 61761-3551
Phone Number
309-828-1166
Fax Number
Provider Enumeration Date
09/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212636 01 IL MEDICARE GROUP NUMBER
05732097 01 IL BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1302 Franklin Ave
City
Normal
State
Illinois
Zip
61761-3551
Phone Number
309-828-1166
Fax Number
person
Provider Business Mailing Address Details
Address
1302 Franklin Ave
City
Normal
State
Illinois
Zip
61761-3551
Phone Number
309-828-1166
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
(Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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