Organization
KHURSHEED SIDDIQUI, MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHURSHEED A SIDDIQUI MD (GROUP PRESIDENT)
(859) 236-9203
Entity
Organization
Contact information
Practice address
300 W BROADWAY ST, DANVILLE, KY 40422-1408
(859) 236-9203
(859) 236-6754
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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