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Organization

MUHAMMAD ALI SIDDIQUI, MD PA

Active
Other names
Lakewood Family Medicine Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MUHAMMAD ALI SIDDIQUI MD MD (OWNER/CEO)
(501) 975-3616
Entity
Organization

Contact information

Practice address
4701 FAIRWAY AVE, SUITE D, N LITTLE ROCK, AR 72116-8066
(501) 975-3616
(501) 975-6705
Mailing address
4701 FAIRWAY AVE, SUITE 201, N LITTLE ROCK, AR 72116-8066
(501) 975-3616
(501) 975-6705

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/22/2010
Last updated
03/04/2013
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