Provider Demographics
NPI:1285953174
Name:SIDDIQUI, FARZANA QURESHI (MD)
Entity type:Individual
Prefix:DR
First Name:FARZANA
Middle Name:QURESHI
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 N MERAMEC AVE
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3782
Mailing Address - Country:US
Mailing Address - Phone:314-721-2986
Mailing Address - Fax:
Practice Address - Street 1:325 N MERAMEC AVE
Practice Address - Street 2:UNIT #13
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3782
Practice Address - Country:US
Practice Address - Phone:314-721-2986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR67222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry