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Search › Maryland › 2085R0204X

Imran Siddiqui

NPI 1750743787 · on the registry since 2016

Practice

Address
900 S Caton Ave
Baltimore, MD 21229
Phone
(667) 234-6000
Organisation at this address
Walgreen Co
St Agnes Hospital
Etienne T. Ngoumgna
St. Agnes Healthcare, Inc.
Baltimore Medical Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
211

Registry record

Primary taxonomy
2085R0204X
2085R0204X
Also registered as
2085R0202X
2085R0202X
Licence states on file
MD, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland