Individual
YAHYA KHALID SIDDIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3825 MEDICAL PARK DR STE 200, AUSTELL, GA 30106-6831
(770) 948-5578
(770) 999-2363
Mailing address
3825 MEDICAL PARK DR STE 200, AUSTELL, GA 30106-6831
(770) 948-5578
(770) 999-2363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
018954
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
018954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00152655A
—
GA
Enumeration date
03/08/2006
Last updated
02/24/2026
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