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

Mohammed Abdulqawi Siddiqui

Individual provider General Practice Physician · NPI 1215432596

Mohammed Abdulqawi Siddiqui is a General Practice in Philadelphia, Pennsylvania. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2018, 8 years ago. Licensed in Illinois.

Years since qualifying
8
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1801 N Broad St
Philadelphia, PA 19122-6003
Phone: (847) 845-7356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 036.160471 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215432596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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