Siraj Siddiqi M.d Pllc

NPI #1578686762 in Lagrange, Kentucky

Provider Information

NPI Number: 1578686762
Entity Type: Organization
Organization Name: Siraj Siddiqi M.d Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Apr 10, 2007
Last Updated: Jan 23, 2018

Practice Location

Address: 1019 COMMERCE PKWY
City: Lagrange
State: Kentucky
ZIP Code: 40031-8779
Phone: (502) 225-9098

Authorized Official

Name: DR. SIRAJ U SIDDIQI, M.D.
Title: OWNER
Phone: (502) 225-9098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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