Individual
WAQAR AHMED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA 30046-3370
(770) 995-0630
Mailing address
2451 FILLINGIM ST STE 10G, MOBILE, AL 36617-2238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD34380
AL
207RP1001X
Pulmonary Disease Physician
Primary
80380
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2012
Last updated
06/24/2025
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