Individual
DR. KHALID AQUIL SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 FAME AVENUE, SUITE 230, HANOVER, PA 17331
(717) 637-2100
(717) 637-2301
Mailing address
250 FAME AVENUE, SUITE 230, HANOVER, PA 17331
(717) 637-2100
(717) 637-2301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 052832 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01564529
—
PA
Enumeration date
08/16/2006
Last updated
02/17/2011
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