# MUHAMMAD ALI SIDDIQUI, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakewood Family Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528368701
- **Authorized official:** MR. MUHAMMAD ALI SIDDIQUI MD MD (OWNER/CEO)
- **Authorized official phone:** (501) 975-3616

## Contact information

- **Practice address:** 4701 FAIRWAY AVE, SUITE D, N LITTLE ROCK, AR 72116-8066
- **Practice address phone:** (501) 975-3616
- **Practice address fax:** (501) 975-6705
- **Mailing address:** 4701 FAIRWAY AVE, SUITE 201, N LITTLE ROCK, AR 72116-8066
- **Mailing address phone:** (501) 975-3616
- **Mailing address fax:** (501) 975-6705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2010
- **Last updated:** 03/04/2013