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

Shabana Siddiqui

Individual provider Family Medicine Physician · NPI 1275510794

Shabana Siddiqui is a Family Practice in Burnsville, Minnesota. Qualified in 1998, 28 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2005
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Practice location Address checks out

14000 Fairview Dr Park Nicollet Clinic - Burnsville
Burnsville, MN 55337-5713
Phone: (952) 993-8700
Fax: (952) 993-8715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 47275 (MN)

Record details

NPI number1275510794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Burnsville