Mohammad Sidiq, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35034291S Issued in OH

Practice address

1039 Haskins Rd
Bowling Green, OH 43402-9065

Phone

(419) 352-1121

Fax

(419) 352-1179

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1740284413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021637",
            "telephone_number": "419-353-7069",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 HASKINS RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029065",
            "telephone_number": "419-352-1121",
            "fax_number": "419-352-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIQ",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35034291S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183626",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA5101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Shindorf, M.A
• Stephen L Shoupe
• Sawyer Lee Shull
• Heather R Shupe, RN
• Nicole Cherie Shurelds
• Nazia Yasmin Sidiq, D.O.
• Claire C Silverman, M.A., CCC-SLP
• Hali Nichole Sindlinger
• Kenneth R Sinkey, LISW
• Jessica Ann Sinning

• Internal Medicine Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.