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Individual
NIHAL U SIDDIQUI
Active
Individual
NIHAL U SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085BN
BLUE CROSS
TX
01
—
10021474
AMERIGROUP
TX
05
—
121333203
—
TX
05
—
121333204
—
TX
01
—
760559868
COMMERCIAL
TX
Enumeration date
04/14/2006
Last updated
09/13/2012
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