Samiyah Siddiqi, RD | |
4146 Placid Lake Ct, Chantilly, VA 20151-3521 | |
(848) 459-3100 | |
Not Available |
Full Name | Samiyah Siddiqi |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 4146 Placid Lake Ct, Chantilly, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619638855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86175046 (Virginia) | Primary |
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Samiyah Siddiqi, RD 4146 Placid Lake Ct, Chantilly, VA 20151-3521 Ph: (848) 459-3100 | Samiyah Siddiqi, RD 4146 Placid Lake Ct, Chantilly, VA 20151-3521 Ph: (848) 459-3100 |
Nadal Nutrition Dietitian Medicare: Medicare Enrolled Practice Location: 14143 Robert Paris Ct, Chantilly, VA 20151 Phone: 757-585-3441 Fax: 888-972-7994 | |
Sukirti Sharma, MS, RDN, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 25734 Rawley Springs Dr, Chantilly, VA 20152 Phone: 703-856-2416 Fax: 703-894-2888 | |
Emma Sirotniak, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25213 Beach Pl, Chantilly, VA 20152 Phone: 559-789-2157 |