Organization
INFECTIOUS DISEASES ASSOCIATES OF SOUTHWEST OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANWER H SIDDIQUI MD (OWNER)
(513) 336-2288
Entity
Organization
Contact information
Practice address
7577 CENTRAL PARKE BLVD, STE 117, MASON, OH 45040-6810
(513) 770-4100
(513) 770-0420
Mailing address
7577 CENTRAL PARKE BLVD, STE 117, MASON, OH 45040-6810
(513) 770-4100
(513) 770-0420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086663
—
OH
05
—
201353370A
—
IN
05
—
201353370B
—
IN
05
—
201353370C
—
IN
Enumeration date
07/23/2013
Last updated
09/27/2016
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