SHAZIA M SIDDIQUI, MD, Pain Medicine LAFAYETTE, IN

Contact Information

SHAZIA M SIDDIQUI, MD

770 PARK EAST BLVD
SUITE B
LAFAYETTE, IN 47905

Phone: 765-714-4344
Fax: 765-838-3200
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain Medicine	207LP2900X	05	Physician/Anesthesiology
Anesthesiology	207L00000X	79	Physician/Addiction Medicine

Indicates primary specialty

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NPI Profile & details for SHAZIA M SIDDIQUI · (Female)

NPI Number	`1629001680`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/09/2006
Last updated	09/26/2025 - About 8 months ago
Sole proprietor ¹	No
Identifiers	IN License # 01059790A IN Medicaid 201148960
Hospital affiliation(s)	FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST - (Acute Care) 1701 S CREASY LN LAFAYETTE, IN 47905 INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL - (Acute Care) 5165 MCCARTY LN LAFAYETTE, IN 47905 MEMORIAL HOSPITAL - (Acute Care) 1101 MICHIGAN AVE LOGANSPORT, IN 46947 PULASKI MEMORIAL HOSPITAL - (Critical Access) 616 E 13TH ST WINAMAC, IN 46996 ST VINCENT WILLIAMSPORT HOSPITAL INC - (Critical Access) 412 N MONROE ST WILLIAMSPORT, IN 47993

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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