Individual
DR. MUHAMMAD SIDDIKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(804) 262-6900
Mailing address
PO BOX 15539, RICHMOND, VA 23227-5539
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101032479
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7240317
—
VA
Enumeration date
03/27/2006
Last updated
07/08/2007
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