Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abul Fazal Siddiqui

Individual provider Internal Medicine Physician · NPI 1356081467

Abul Fazal Siddiqui is an Internal Medicine in Lakeland, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2022, 4 years ago. Practices with Advanced Care Hospitalists Pl, a 69-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

4315 Highland Park Blvd Ste A
Lakeland, FL 33813-1639
Phone: (813) 651-1085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS21326 (FL)

Record details

NPI number1356081467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2022 (4 years in practice)
Group practice Advanced Care Hospitalists Pl — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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