Individual
DR. AAZIM SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3000
(503) 494-4286
Mailing address
6565 N CHARLES ST, PPE 203, TOWSON, MD 21204-6800
(443) 849-3760
(448) 849-8138
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD203353
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
06/05/2021
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