Individual
NOUMAN SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 205, RALEIGH, NC 27607-7512
(919) 859-8436
Mailing address
4201 LAKE BOONE TRL, SUITE 205, RALEIGH, NC 27607-7512
(919) 859-8436
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200300882
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-134NA
—
NC
Enumeration date
05/11/2006
Last updated
06/13/2013
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