Individual
DR. TALHA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6164 FULLER CT, ALEXANDRIA, VA 22310-2540
(571) 257-9580
Mailing address
6164 FULLER CT, ALEXANDRIA, VA 22310-2540
(571) 257-9580
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101233817
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
0101233817
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013928142
—
VA
05
—
1548443153
—
VA
Enumeration date
08/11/2006
Last updated
05/05/2017
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