| NPI Details | |
|---|---|
| NPI | 1043206618 |
| Gender | Male |
| Enumeration Date | 09/20/2005 |
| Last Updated | 03/10/2011 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 211 S 3RD ST BELLEVILLE IL, 62220-1915, US |
|
| Phone | (618) 234-2120 |
| Fax | (618) 641-5810 |
| Business Location | |
|---|---|
| 211 S 3RD ST BELLEVILLE IL, 62220-1915, US |
|
| Phone | (618) 234-2120 |
| Fax | (618) 641-5810 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207L00000X |
| License State | Texas |
| License Number | N4099 |
| Remove 1043206618 NPI Number | |
According to our database, Ata U. Siddiqui M.D. NPI is 1043206618, taxonomy code is 207L00000X and license number is N4099, license state is located at Texas. Ata U. Siddiqui M.D. physically located at 211 S 3rd St, Belleville IL, 62220-1915. NPI Number Ata U. Siddiqui M.D. has the Individual type.
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1043206618 NPI number is provided on an as is basis without warranty of any kind. 1043206618 is maintained by the National Plan & Provider Enumeration System. The contents of Ata U. Siddiqui M.D. are for informational purposes only.
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