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

Sufyan Ahmed Siddiqui, MD

Individual provider Family Medicine Physician · NPI 1083956445

Sufyan Ahmed Siddiqui, MD is a Family Practice in Casselberry, Florida. Graduated from State University of Ny Upstate Medical University in 2013, 13 years ago. Accepts Medicare assignment and offers telehealth. Licensed in District of Columbia, Florida and Maryland.

Years since qualifying
13
Trained at
State University of Ny Upstate Medical University
Licensed in
DC, FL, MD
In the registry since
2013
Specialties on file
3
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

985 State Road 436
Casselberry, FL 32707-5664
Phone: (407) 831-5252
Fax: (407) 831-3765
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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 ME143614 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD500001806 (DC)
Family Medicine Physician Taxonomy 207Q00000X · Licence D0098740 (MD)

Record details

NPI number1083956445
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2013
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Casselberry