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

Ayesha Sundus Siddique, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730617861

Ayesha Sundus Siddique, MD is a Pathology in Norwich, Connecticut. Qualified in 2014, 12 years ago. Practices with Connecticut Gi PLLC, a 245-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 Wawecus St
Norwich, CT 06360-2162
Phone: (860) 972-6113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 67089 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730617861
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESJuly 13, 2022
Certification dateJuly 12, 2022

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Connecticut Gi Pllc — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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