| Siddiqui Psychiatry Llc | |
|
3 Krantz Ct Kenner LA 70065-4282 | |
| (504) 930-4545 | |
| Not Available |
| Full Name | Siddiqui Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3 Krantz Ct, Kenner, Louisiana |
| Authorized Official Name and Position | Ahmed Siddiqui (OWNER) |
| Authorized Official Contact | 5049304545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siddiqui Psychiatry Llc 3 Krantz Ct Kenner LA 70065-4282 Ph: () - | Siddiqui Psychiatry Llc 3 Krantz Ct Kenner LA 70065-4282 Ph: (504) 930-4545 |
| NPI Number | 1548979537 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Medicare PECOS PAC ID | 5698144707 |
|---|---|
| Medicare Enrollment ID | O20221213000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548979537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ahmed A Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326572389 PECOS PAC ID: 5597134601 Enrollment ID: I20221213003204 |
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