Sidi a Elaloui MD.PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0074304 Issued in FL

Legal business name

SIDI A ELALOUI MD.PA

Practice address

1952 N John Young Pkwy
Kissimmee, FL 34741-3221

Phone

(407) 343-1284

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sidi A ElalaouiNPI 1023044674

Title

MD

Phone

(407) 343-1284

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sidi A Elalaoui, MD

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1023044674
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1508114133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 GANTS CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413221",
            "telephone_number": "407-343-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDI A ELALOUI MD.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "ELALAOUI",
        "authorized_official_first_name": "SIDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "407-343-1284",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0074304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Siddiqui
• Humera Siddiqui, O.D.
• Imaan Siddiqui, DO
• Mohammad T Siddiqui, M.D.
• Shoaib Siddiqui, M.D.
• Stephanie Anella Siegel
• Mariangie Sierra Medina
• Denise Moraima Sierra, MS, MCAP
• Maykel Sierra, DMS
• Sigh Services Inc

• Primary Care Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.