Basic Information
| Provider Information | |||||||||
| NPI: | 1386383438 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIDDIQI | ||||||||
| FirstName: | RABBIA | ||||||||
| MiddleName: | LAIQ | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | THE UNIVERSITY OF TOLEDO | ||||||||
| Address2: | 2100 W. CENTRAL AVE | ||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5674201613 | ||||||||
| FaxNumber: | 4192833684 | ||||||||
| Practice Location | |||||||||
| Address1: | THE UNIVERSITY OF TOLEDO | ||||||||
| Address2: | 2100 W. CENTRAL AVE | ||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5674201613 | ||||||||
| FaxNumber: | 4192833684 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2022 | ||||||||
| LastUpdateDate: | 10/17/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 57.252406 | OH | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.