Individual
AMANULLAH SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1285 HIGHWAY 11W, BEAN STATION, TN 37708
(865) 993-4300
(865) 993-4304
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD27361
TN
207R00000X
Internal Medicine Physician
Primary
MD27361
TN
208M00000X
Hospitalist Physician
MD27361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3097419
—
TN
Enumeration date
07/12/2005
Last updated
06/11/2018
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