# KHURSHEED SIDDIQUI, MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831256114
- **Authorized official:** KHURSHEED A. SIDDIQUI M.D. (OWNER)
- **Authorized official phone:** (859) 268-1030

## Contact information

- **Practice address:** 217 S 3RD ST, DANVILLE, KY 40422-1823
- **Practice address phone:** (859) 239-1000
- **Mailing address:** 3320 TATES CREEK RD, SUITE 204, LEXINGTON, KY 40502-3400
- **Mailing address phone:** (859) 268-1030
- **Mailing address fax:** (859) 269-4120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 12/01/2014