Individual
FARRUKH A SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 20TH ST, STE 303, KNOXVILLE, TN 37916-1809
(865) 541-1375
(865) 541-1714
Mailing address
501 20TH ST, STE 303, KNOXVILLE, TN 37916-1809
(865) 541-1375
(865) 541-1714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32071
TN
207Q00000X
Family Medicine Physician
M2807
TX
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
32071
TN
207QS1201X
Sleep Medicine (Family Medicine) Physician
M2807
TX
208M00000X
Hospitalist Physician
32071
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338504901
—
TX
05
—
3855235
—
TN
01
—
4038752
BCBST
—
01
—
8EL099
BCBS
TX
01
—
P01379269
RAILROAD MEDICARE
TX
Enumeration date
02/13/2006
Last updated
04/21/2016
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