| Abdul R Siddiqui, MD | |
|
202 N Division St Ste 301, Auburn, WA 98001-4939 | |
| (253) 288-3040 | |
| Not Available |
| Full Name | Abdul R Siddiqui |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 36 Years |
| Location | 202 N Division St Ste 301, Auburn, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073552709 | NPI | - | NPPES |
| 2673067 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 35-069270 (Ohio) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | MD60266117 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Swedish Edmonds Hospital | Edmonds, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Overlake Medical Clinics Llc | 7012808827 | 380 |
| Entity Name | Overlake Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Abdul R Siddiqui, MD 202 N Division St Ste 301, Auburn, WA 98001-4939 Ph: (253) 288-3040 | Abdul R Siddiqui, MD 202 N Division St Ste 301, Auburn, WA 98001-4939 Ph: (253) 288-3040 |
Eduardo Gil De Rubio, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 253-833-7711 | |
Dr. Robert Todd Middleton, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Ste 201, Auburn, WA 98001 Phone: 253-939-1230 Fax: 253-735-1211 | |
Dr. Krystoff J. Godlewski, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001 Phone: 253-939-1230 Fax: 253-735-6479 | |
Dr. James Martin Wagner, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001 Phone: 253-939-1230 | |
Madhavi Reddy Mandala, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St Ste 301, Auburn, WA 98001 Phone: 253-833-7256 | |
Dr. Jake Bergstrom, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 17500 Se 392nd St, Auburn, WA 98092 Phone: 253-939-6648 |