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

Efaza Umar Siddiqui, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104302876

Efaza Umar Siddiqui, MD is a Diagnostic Radiology in Worcester, Massachusetts. Qualified in 2013, 13 years ago. Practices with Jefferson Radiology PC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
13
Licensed in
CT
In the registry since
2018
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

55 Lake Ave N
Worcester, MA 01655
Phone: (508) 334-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (401) 456-2000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 76539 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104302876
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address55 Lake Ave N, Worcester, MA 01655-0002

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Jefferson Radiology Pc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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