Individual
DR. NAVEED SIDDIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 E BOONE ST, TAHLEQUAH, OK 74464-3338
(918) 456-7700
(918) 458-9314
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 772-3390
(918) 458-9314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18013
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100822410D
—
OK
01
—
1376513002
NPI FOR CORPORATION
OK
Enumeration date
02/19/2007
Last updated
06/04/2019
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