Individual
ASHFAQ H SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
L5562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057PA
BCBS
TX
01
—
1488594
AETNA
TX
05
—
1919615
—
TX
01
—
P00439527
RR MEDICARE
TX
Enumeration date
06/15/2005
Last updated
05/03/2021
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