Mohammed A. Siddiqui, M.d., Pllc
NPI #1154738953 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1154738953
- Entity Type
- Organization
- Organization Name
- Mohammed A. Siddiqui, M.d., Pllc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jul 14, 2014
- Last Updated
- Jul 14, 2014
Practice Location
- Address
- 1120 WOODLAND DR
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-2763
- Phone
- (270) 769-2475
Authorized Official
- Name
- MOHAMMED A SIDDIQUI, M.D.
- Title
- OWNER
- Phone
- (270) 769-2475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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