Individual
DR. MOHAMMAD SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 S JACKSON HWY, SUITE 301-B, SHEFFIELD, AL 35660-5777
(256) 320-5405
(256) 320-5407
Mailing address
1120 S JACKSON HWY, SUITE 301-B, SHEFFIELD, AL 35660-5777
(256) 320-5405
(256) 320-5407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22371
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940774
—
AL
01
—
51538761
BCBS
AL
Enumeration date
05/02/2006
Last updated
12/17/2008
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