Individual ProviderHasan SiddiqiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 The Vanderbilt Clinic, Nashville, TN 37232-6110(615) 322-3000(615) 936-2000PECOS EnrollmentBased on the most recent information from CMS, provider Hasan Siddiqi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740626837Provider TypeIndividualFull NameSiddiqi, HasanTitleDr.CredentialMD, MSCRGenderMaleSole ProprietorNoEnumeration Date5/15/2013Last Updated3/24/2022Contact InformationPractice LocationPractice Address3601 The Vanderbilt Clinic, Nashville, TN 37232-6110Phone(615) 322-3000FaxUnlisted FaxMailing LocationMailing Address3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691Phone(615) 936-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RA0001XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense63220TennesseeCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMT204164PennsylvaniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense63220TennesseeCode207RC0000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense63220Tennessee