Individual
NAZIA YASMIN SIDIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1039 HASKINS RD, SUITE A, BOWLING GREEN, OH 43402-9065
(419) 352-1121
(419) 352-1179
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1637
(419) 353-7069
(419) 353-7076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.008687
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2621112
—
OH
01
—
DA5101
RR MEDICARE
OH
Enumeration date
01/06/2006
Last updated
06/15/2022
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