Individual
IMRAN A SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 842-9097
(321) 841-1296
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 842-9097
(321) 841-1296
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
056653
CT
208600000X
Surgery Physician
Primary
ME165255
FL
2086X0206X
Surgical Oncology Physician
U7275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120207600
—
FL
05
—
1235389875
—
NC
05
—
NC2426
—
SC
Enumeration date
09/19/2008
Last updated
12/08/2023
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