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

Sohaib Siddiqui, MD

Individual provider Family Medicine Physician · NPI 1104480268

Sohaib Siddiqui, MD is a Family Practice in Cheverly, Maryland. Qualified in 2018, 8 years ago. Practices with Coastal Medical Physicians Inc, a 219-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2019
Specialties on file
2
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

2900 Mercy Lane 3rd Fl
Cheverly, MD 20785
Phone: (301) 851-5459
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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 MD18437 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104480268
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022
Mailing address3421 Escada Drive, Mississauga, 571

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Coastal Medical Physicians Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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