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

Mina Siddiqui

Individual provider Internal Medicine Physician · NPI 1477086254

Mina Siddiqui is an Internal Medicine in Stroudsburg, Pennsylvania. Qualified in 2017, 9 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
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Practice location Address checks out

100 St Lukes Ln
Stroudsburg, PA 18360-6217
Phone: (484) 526-6643
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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 MD474371 (PA)

Record details

NPI number1477086254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2017
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address100 St Lukes Ln, Stroudsburg, PA 18360-6217

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Stroudsburg