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

Shazia Mehmood Siddique, MD

Individual provider Gastroenterology Physician · NPI 1407117252

Shazia Mehmood Siddique, MD is a Gastroenterology in Philadelphia, Pennsylvania. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2012, 14 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
14
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
PA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Civic Center Blvd 7th Fl
Philadelphia, PA 19104-5127
Phone: (215) 349-8222
Fax: (215) 662-6530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 — (848) 391-8469

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD458029 (PA)

Record details

NPI number1407117252
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 7, 2012
Last updated in NPPESMay 7, 2018

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2012 (14 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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