Maaz Siddique, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

58.034502 Issued in OH

Practice address

7500 State Rd
Cincinnati, OH 45255-2439

Phone

(513) 624-4500

NPI assigned

May 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1306694484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GREENSHADOWS LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409629",
            "telephone_number": "732-429-0943",
            "fax_number": "513-233-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 STATE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552439",
            "telephone_number": "513-624-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "MAAZ",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.034502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abhinav Sidana, M.B.B.S
• Chiranjeevi Pramodnath Reddy Siddagunta, MBBS
• Anwer Zohaib Siddiqi, MD, MSC.
• Nabeela Iffat Siddiqi, M.D.
• Shahidah Ramon Siddiqi
• Ameen Siddiqui
• Mohammad-Saad Mustafa Siddiqui, MD
• Madison Chloe Siders, LPC
• Sandra B Sidne
• Bianca Sidoti, PMHNP-BC

• Family Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.