Organization Active NPI

Mohammed Z Siddiqui Medical Consulting LLC

  • Medical Specialty Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1154730414
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036-097325 Issued in IL
Legal business name
MOHAMMED Z SIDDIQUI MEDICAL CONSULTING LLC
Practice address
10 Overbrook Dr
Saint Louis, MO 63124-1482
Phone
(314) 330-0171
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohammed Zahid Siddiqui, M.D
Title
Physician
Phone
(314) 330-0171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036-097325 IL Primary

Addresses

Primary practice location

10 Overbrook Dr
Saint Louis, MO 63124-1482

Mailing address

1313 Camp Jackson Rd
Cahokia, IL 62206-2202
Phone (618) 332-0900

National Provider Directory

National Provider Directory

Locations

1313 Camp Jackson Rd
East Saint Louis, IL 62206
Phone (618) 332-0900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1154730414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062202",
            "telephone_number": "618-332-0900",
            "fax_number": "618-332-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OVERBROOK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241482",
            "telephone_number": "314-330-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED Z SIDDIQUI MEDICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ZAHID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-330-0171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036-097325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.