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

Imran E. Siddiqi, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1932233566

Imran E. Siddiqi, MD is a Pulmonary Disease in Loris, South Carolina. Qualified in 1991, 35 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
35
Licensed in
SC
In the registry since
2007
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

3710 Mishoe Street Med Share Bldg
Loris, SC 29569-2822
Phone: (843) 716-7911
Fax: (843) 716-7918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 33339 (SC)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 33339 (SC)

Record details

NPI number1932233566
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESOctober 4, 2012
Mailing addressPo Box 3239, Florence, SC 29502-3239

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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