Organization
NEUROLOGY & NEURODIAGNOSTIC CLINIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN A SIDDIQUI MD (OWNER)
(812) 537-7011
Entity
Organization
Contact information
Practice address
606 WILSON CREEK RD, STE. 210, LAWRENCEBURG, IN 47025-1095
(812) 537-7011
(812) 537-7021
Mailing address
PO BOX 643046, CINCINNATI, OH 45264-3046
(800) 357-5728
(937) 291-2962
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0937400
—
OH
05
—
100319400A
—
IN
01
—
348882200
US DEPT OF LABOR
—
05
—
65937062
—
KY
Enumeration date
09/05/2006
Last updated
09/16/2008
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