Individual
ADNAN SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4831 TESLA DR STE F, BOWIE, MD 20715
(240) 737-0080
Mailing address
12510 PROSPERITY DR STE 200, SILVER SPRING, MD 20904-1640
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0085146
MD
390200000X
Student in an Organized Health Care Education/Training Program
0116021813
VA
Other
Enumeration date
06/15/2009
Last updated
06/15/2018
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