Individual
KHIZER M SIDDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PARK CIRCLE DRIVE, FLOWOOD, MS 39232
(205) 981-2152
Mailing address
150 PARK CIRCLE DRIVE, FLOWOOD, MS 39232
(205) 981-2152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00017547
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051520970
BCBS
AL
05
—
051520970
—
AL
01
—
051529063
BCBS
AL
01
—
5678710
AETNA
AL
Enumeration date
09/20/2005
Last updated
06/05/2008
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