Individual
DR. AWAIS H SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 W LAYTON AVE STE 40, MILWAUKEE, WI 53221-5420
(262) 577-0250
(262) 577-0251
Mailing address
2500 W LAYTON AVE STE 40, MILWAUKEE, WI 53221-5420
(262) 577-0250
(262) 577-0251
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
45810
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
45810
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11176041
CAQH
—
05
—
34391800
—
WI
Enumeration date
08/24/2006
Last updated
01/04/2024
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