Individual
DR. ALI AHMED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8081 INNOVATION PARK DR STE 301, FAIRFAX, VA 22031-4867
(571) 472-6431
(571) 665-6826
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101274422
VA
207RG0100X
Gastroenterology Physician
291092
MA
207RG0100X
Gastroenterology Physician
41307
TX
207RG0100X
Gastroenterology Physician
C156639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024226000001
—
PA
Enumeration date
06/20/2006
Last updated
08/24/2023
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