Organization
TAHIR SIDDIQ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIR SIDDIQ MD (OWNER)
(469) 530-4932
Entity
Organization
Contact information
Practice address
441 CHASEWAY DR, PIKE ROAD, AL 36064-3312
(334) 396-0201
Mailing address
441 CHASEWAY DR, PIKE ROAD, AL 36064-3312
(469) 530-4932
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
07/13/2022
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