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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528709037

Nimra Imtiaz Siddiqui is an Internal Medicine in Flushing, New York. Qualified in 2015, 11 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2022
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Practice location Address checks out

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone: (718) 670-5939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1528709037
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southwest Suffolk Medical Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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