Basic Information
| Provider Information | |||||||||
| NPI: | 1699129312 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SIDDIQI | ||||||||
| FirstName: | AREEB | ||||||||
| MiddleName: | JAWDAT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 477 COOPER RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | WESTERVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430818053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148988808 | ||||||||
| FaxNumber: | 6148988842 | ||||||||
| Practice Location | |||||||||
| Address1: | 81 E WILSON BRIDGE RD | ||||||||
| Address2: | |||||||||
| City: | WORTHINGTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430852301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6146271889 | ||||||||
| FaxNumber: | 6142349885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2016 | ||||||||
| LastUpdateDate: | 08/22/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35.136598 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.