Individual
AKHTAR J. SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905C S FRONTAGE RD, MERIDIAN, MS 39301-6113
(601) 486-4210
(601) 486-4219
Mailing address
PO BOX 5208, MERIDIAN, MS 39302-5208
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14544
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116027
—
MS
05
—
009901350
—
AL
01
—
370012298
RAILROAD MEDICARE
—
Enumeration date
11/18/2005
Last updated
11/08/2013
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