Shabana Siddiqui, | |
14000 Fairview Dr, Park Nicollet Clinic - Burnsville, Burnsville, MN 55337-5713 | |
(952) 993-8700 | |
(952) 993-8715 |
Full Name | Shabana Siddiqui |
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Gender | Female |
Speciality | Family Practice |
Experience | 26 Years |
Location | 14000 Fairview Dr, Burnsville, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275510794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 47275 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
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Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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Shabana Siddiqui, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Shabana Siddiqui, 14000 Fairview Dr, Park Nicollet Clinic - Burnsville, Burnsville, MN 55337-5713 Ph: (952) 993-8700 |
Dr. Geeta L Balkissoon, MB BS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 | |
David Gray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 Phone: 952-428-0200 | |
Dr. Albert Yeo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14101 Fairview Dr Ste 300, Burnsville, MN 55337 Phone: 952-892-2650 | |
Michael C Magnuson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 E Nicollet Blvd, Suite 100, Burnsville, MN 55337 Phone: 952-435-0303 Fax: 952-892-5166 | |
Venancio T Jo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 Phone: 952-428-0200 | |
Tim A Meyer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14000 Nicollet Ave, Burnsville Medical Center, Burnsville, MN 55337 Phone: 952-985-8255 Fax: 952-985-8299 |