Individual
DR. SULTAN MAHMUD SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-8006
(803) 434-3800
(803) 744-2759
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35596
SC
207RC0000X
Cardiovascular Disease Physician
MD069264L
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35596
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD069264L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355966
—
SC
Enumeration date
06/03/2006
Last updated
10/04/2023
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