Y Khalid Siddiq M.D.

NPI 1023085081 - Internal Medicine - 207RE0101X

NPI Details
NPI 1023085081
Gender Male
Enumeration Date 03/08/2006
Last Updated 01/28/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1700 HOSPITAL SOUTH DR
SUITE 200
AUSTELL GA, 30106-6810, US
Phone (770) 948-5578
Fax
Business Location
1700 HOSPITAL SOUTH DR
SUITE 200
AUSTELL GA, 30106-6810, US
Phone (770) 948-5578
Fax
Toxanomy
Taxonomy Code 207RE0101X
License State Georgia
License Number 018954
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According to our database, Y Khalid Siddiq M.D. NPI is 1023085081, taxonomy code is 207RE0101X and license number is 018954, license state is located at Georgia. Y Khalid Siddiq M.D. physically located at 1700 Hospital South Dr, Austell GA, 30106-6810. NPI Number Y Khalid Siddiq M.D. has the Individual type.

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1023085081 NPI number is provided on an as is basis without warranty of any kind. 1023085081 is maintained by the National Plan & Provider Enumeration System. The contents of Y Khalid Siddiq M.D. are for informational purposes only.