Individual
AFSHEEN SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-0374
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20414
MS
208000000X
Pediatrics Physician
34287
AL
208000000X
Pediatrics Physician
Primary
80234
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07372301
—
MS
01
—
20414
MISSISSIPPI MEDICAL LICENSE
MS
Enumeration date
10/06/2008
Last updated
08/07/2024
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