Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ISRAR AZIM SIDDIQI, M.D.
Active Sole ProprietorDR. ISRAR AZIM SIDDIQI, M.D. is a Sports Medicine (IM) healthcare provider located in ELKHART, Indiana. NPI 1346289501 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · ELKHART, IN
Registration Details
- NPI Number
- 1346289501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2006 (20.2306647114 yrs)
- Last Updated
- Sep 24, 2025
- Licenses
-
01058354A (IN)01058354A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
525 W BRISTOL STELKHART, IN, 465142964Browse IN providers · Browse ZIP 46514
- Phone
- 5742620329
- Fax
- 5742955922
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.