MOHAMMED A. SIDDIQUI M.D. PLLC NPI 1154738953

NPI Information

MOHAMMED A. SIDDIQUI, M.D., PLLC is a medical specialty clinic center in Elizabethtown, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MOHAMMED A. SIDDIQUI, M.D., PLLC NPI is 1154738953. The provider is registered as an organization entity type.

The provider's business location address is:

1120 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701-763
Phone: (270) 769-2475

The provider's authorized official is Mohammed A Siddiqui .
The authorized official title is Owner and has the following contact phone number (270) 769-2475.

The enumeration date for this NPI number is 7/14/2014 and was last updated on 7/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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