Individual
IRSHAD A SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
350 INTERLOCKEN BLVD, STE 360, BROOMFIELD, CO 80021-3477
(303) 339-1499
(303) 339-1498
Mailing address
222 MAPLE LN, MUNSTER, IN 46321-2107
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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