| Mahmood Abdul Siddiqui, MD | |
|
144 Medical Center Dr #b, Copperhill, TN 37317-5000 | |
| (423) 496-9214 | |
| (423) 496-7809 |
| Full Name | Mahmood Abdul Siddiqui |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 144 Medical Center Dr #b, Copperhill, Tennessee |
| 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 |
|---|---|---|---|
| 1568439453 | NPI | - | NPPES |
| 3089399 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD0000026174 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennessee Home Health | Chattanooga, TN | Home health agency |
| Adoration Home Health And Hospice Care East Tn | Cleveland, TN | Home health agency |
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Centers Of East Tennessee, P.c. | 1951485150 | 6 |
| Mahmood A Siddiqui Md Pc | 6305941535 | 3 |
| Entity Name | Mahmood A Siddiqui Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427070523 PECOS PAC ID: 6305941535 Enrollment ID: O20070417000666 |
| Entity Name | Urgent Care Centers Of East Tennessee, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316124852 PECOS PAC ID: 1951485150 Enrollment ID: O20080227000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mahmood Abdul Siddiqui, MD Po Box 1162, Copperhill, TN 37317-1162 Ph: (423) 496-9214 | Mahmood Abdul Siddiqui, MD 144 Medical Center Dr #b, Copperhill, TN 37317-5000 Ph: (423) 496-9214 |
Dr. Allen Stephen Uhlik, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 Medical Center Dr, Copperhill, TN 37317 Phone: 423-496-7672 Fax: 423-496-1034 | |
Richard Adler, PH.,D, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 107 Ocoee Street, Copperhill, TN 37317 Phone: 423-496-1643 Fax: 423-496-1144 | |
Richard Tanner, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 144 Medical Center Dr Ste C, Copperhill, TN 37317 Phone: 423-548-1520 Fax: 423-548-1521 | |
Dr. Stephen M. Treon, MD,PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Ocoee St, Copperhill, TN 37317 Phone: 423-496-4103 Fax: 423-496-4106 |