Individual
DR. SHAHZAD KHAN SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 N 20TH ST STE 20A, OPELIKA, AL 36801-5456
(334) 749-6523
(334) 742-0242
Mailing address
121 N 20TH ST STE 20A, OPELIKA, AL 36801-5456
(334) 749-6523
(334) 742-0242
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
41548
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/05/2007
Last updated
01/05/2026
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