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

Shahab Z Siddiqui, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1962448902

Shahab Z Siddiqui, MD is an Internal Medicine in Hagerstown, Maryland. Qualified in 1983, 43 years ago. Practices with Meritus Medical Center Inc, a 746-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
43
Licensed in
MD
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

324 E Antietam St Ste 305
Hagerstown, MD 21740-5768
Phone: (301) 791-2510
Fax: (301) 739-7798
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence D45031 (MD)

Record details

NPI number1962448902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESOctober 4, 2012

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Meritus Medical Center Inc — 746 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare