Individual
MUNAWAR SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 FORTRESS PROPERTIES ST, SUITE 2, LONDON, KY 40741-3125
(859) 224-9989
(606) 877-4560
Mailing address
106 FORTRESS PROPERTIES ST, SUITE 2, LONDON, KY 40741-3125
(859) 224-9989
(606) 877-4560
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
38485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2346170
—
OH
Enumeration date
03/17/2006
Last updated
01/22/2021
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