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Organization

MAHMOOD A SIDDIQUI MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAHMOOD ABDUL SIDDIQUI M.D. (PRESIDENT)
(423) 496-9214
Entity
Organization

Contact information

Practice address
144 MEDICAL CENTER DR. #B, COPPERHILL, TN 37317-5000
(423) 496-9214
(423) 496-7809
Mailing address
PO BOX 1162, COPPERHILL, TN 37317-1162
(423) 496-9214
(423) 496-7809

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26174
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3736177
TN
Enumeration date
07/25/2006
Last updated
11/09/2007
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