Individual
FAHIM A. SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
1901 SW 172ND AVE, MIRAMAR, FL 33029-5592
(954) 538-5000
Mailing address
1613 HARRISON PKWY, SUITE 200, SUNRISE, FL 33323-2896
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA50
FL
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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