Individual
AMBREEN SAJJAD SIDDIQUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1260 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2984
(804) 518-2597
(804) 518-2598
Mailing address
1621 S JUPITER RD, STE 101, GARLAND, TX 75042-7793
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101242950
VA
207R00000X
Internal Medicine Physician
Primary
P8080
TX
Other
Enumeration date
07/09/2008
Last updated
06/14/2016
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