Nadeem A Siddiqui, MD
Internal Medicine in Waterville, ME. Individual provider (NPI-1).
NPI number1104094879
StatusActive
Last updated in NPPESFeb 15, 2008
Details
- NPI
- 1104094879
- Entity type
- Individual (NPI-1)
- Name
- Nadeem A Siddiqui
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2008
- Last updated
- Feb 15, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 017497 | ME | Yes |
Practice location
200 Kennedy Memorial DrWaterville, ME 04901-4526
Phone 207-861-3000 · Fax 207-861-3025
Mailing address
200 Kennedy Memorial DrWaterville, ME 04901-4526
Phone 207-861-3000 · Fax 207-861-3025
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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