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Individual

BUSHRA IQTIDAR SIDDIQUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2600 SIXTH ST. S.W. CANTON OH 44710, 2600 SIXTH ST. S.W., CANTON, OH 44710-1799
(330) 363-9911
(330) 580-5513
Mailing address
2600 SIXTH ST. S.W., CANTON, OH 44710-1799
(330) 363-9911
(330) 580-5513

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/21/2025
Last updated
10/27/2025
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