Individual
MERAJ SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 HARRISON ST STE T, BATESVILLE, AR 72501-7315
(870) 262-6155
(870) 262-6512
Mailing address
125 DENNISON HTS, BATESVILLE, AR 72501-8936
(870) 834-4499
(870) 262-6187
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E4737
AR
207L00000X
Anesthesiology Physician
R5039
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
E4737
AR
208VP0014X
Interventional Pain Medicine Physician
R5039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5N520
BLUE CROSS OF AR
AR
Enumeration date
05/25/2006
Last updated
05/14/2024
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