Individual
FATIMA SIDDIQUA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5500 E KELLOGG, WICHITA, KS 67218
(316) 685-2221
Mailing address
5500 E KELLOGG, WICHITA, KS 67218
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-33044
KS
207R00000X
Internal Medicine Physician
33044
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200606990A
—
KS
Enumeration date
03/28/2009
Last updated
02/07/2014
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