Individual
DR. KHAN MOHAMMAD SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 N GREENE ST, RADIOLOGY - 114, BALTIMORE, MD 21201
(410) 605-7175
Mailing address
630 N MADISON ST, HINSDALE, IL 60521-2834
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD421401
PA
2085N0700X
Neuroradiology Physician
MD421401
PA
2085N0904X
Nuclear Radiology Physician
MD421401
PA
2085P0229X
Pediatric Radiology Physician
MD421401
PA
2085R0202X
Diagnostic Radiology Physician
MD421401
PA
2085U0001X
Diagnostic Ultrasound Physician
MD421401
PA
Other
Enumeration date
05/09/2006
Last updated
06/21/2018
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