Individual
ISMAEEL SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 GOODMAN STREET ML 0781- INTERNAL MEDICINE, CINCINATTI, OH 45219
(513) 584-4505
(513) 584-0468
Mailing address
234 GOODMAN STREET, ML 0781, CINCINNATI, OH 45219-2364
(513) 584-4505
(515) 584-0468
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05228
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
10/21/2022
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