Individual
DR. BADAR SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N STATE OF FRANKLIN RD RM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63949
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2020-02313
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
63949
TN
207RP1001X
Pulmonary Disease Physician
2020-02313
NC
207RP1001X
Pulmonary Disease Physician
63949
TN
Other
Enumeration date
04/09/2014
Last updated
09/24/2025
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