Organization
SIRAJ SIDDIQI M.D PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIRAJ U SIDDIQI M.D. (OWNER)
(502) 225-9098
Entity
Organization
Contact information
Practice address
1019 COMMERCE PKWY, LAGRANGE, KY 40031-8779
(502) 225-9098
(502) 225-9851
Mailing address
1019 COMMERCE PKWY, LAGRANGE, KY 40031-8779
(502) 225-9098
(502) 225-9851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28062
KY
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/10/2007
Last updated
01/23/2018
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