Individual
DR. ANWER H SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 344-1512
(859) 331-3698
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-1512
(859) 331-3698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-068920
OH
207RI0200X
Infectious Disease Physician
35-068920
OH
207RI0200X
Infectious Disease Physician
Primary
57899
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110222060
RR MEDICARE
OH
05
—
200314710
—
IN
05
—
2181080
—
OH
05
—
7100415040
—
KY
Enumeration date
02/28/2006
Last updated
08/29/2023
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