Individual
NAJEEB IRTAZA SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042724
GA
207L00000X
Anesthesiology Physician
42724
GA
207L00000X
Anesthesiology Physician
Primary
85020
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000860857C
—
GA
05
—
850207
—
SC
Enumeration date
05/16/2006
Last updated
05/13/2024
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