Individual
NUSRAT SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 RUSSELLVILLE RD, HOPKINSVILLE, KY 42240-8095
(270) 889-6025
(270) 886-4487
Mailing address
2400 RUSSELLVILLE RD, P.O. BOX 2200, HOPKINSVILLE, KY 42240-8095
(270) 889-6025
(270) 886-4487
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64108079
—
KY
Enumeration date
01/30/2007
Last updated
07/08/2007
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