Individual
JAMAL DEAN SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7171 S YALE AVE STE 103, TULSA, OK 74136-6367
(918) 747-3937
(918) 748-8707
Mailing address
2000 S WHEELING AVE STE 500, TULSA, OK 74104-5642
(918) 747-3937
(918) 748-8707
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
LP02002
RI
Other
Enumeration date
06/03/2010
Last updated
10/27/2020
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