Individual
DR. MEHTAB FATIMA SIDDIKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
15210 S 47TH ST, PHOENIX, AZ 85044-6893
(480) 753-9284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26921
AZ
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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