Individual
DR. ADEEL AHMED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 NORMAN DR, LEBANON, PA 17042-7497
(272) 273-6706
(717) 202-0278
Mailing address
755 NORMAN DR, LEBANON, PA 17042-7497
(272) 273-6706
(717) 202-0278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
191956
PA
207RN0300X
Nephrology Physician
0101253572
VA
207RN0300X
Nephrology Physician
Primary
MD448536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245563436
—
VA
Enumeration date
09/07/2009
Last updated
02/26/2016
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