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Organization
KHURSHEED SIDDIQUI, MD PSC
Active
Organization
KHURSHEED SIDDIQUI, MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHURSHEED A. SIDDIQUI M.D. (OWNER)
(859) 268-1030
Entity
Organization
Contact information
Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-1000
Mailing address
3320 TATES CREEK RD, SUITE 204, LEXINGTON, KY 40502-3400
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/03/2007
Last updated
12/01/2014
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