Shahla Siddiqui, | |
330 Brookline Ave, Feldberg -0220, Dept Of Anesthesia, Boston, MASSACHUSETTS 02215 | |
(617) 667-3364 | |
Not Available |
Full Name | Shahla Siddiqui |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 30 Years |
Location | 330 Brookline Ave, Boston, MASSACHUSETTS |
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 |
---|---|---|---|
1164980579 | NPI | - | NPPES |
742-4 | Other | KTPH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 279726 (Massachusetts) | Primary |
207L00000X | Anesthesiology | 01069122A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1337 |
Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918 |
Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093756629 PECOS PAC ID: 4486567104 Enrollment ID: O20040315000395 |
Entity Name | Beth Israel Deaconess Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
Mailing Address | Practice Location Address |
---|---|
Shahla Siddiqui, 330 Brookline Ave, Feldberg -0220, Dept Of Anesthesia, Boston, MASSACHUSETTS 02215 Ph: () - | Shahla Siddiqui, 330 Brookline Ave, Feldberg -0220, Dept Of Anesthesia, Boston, MASSACHUSETTS 02215 Ph: (617) 667-3364 |