Individual
DR. MASOOD SIDDIQUEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 EASTSIDE DRIVE, SUITE A, CONYERS, GA 30013
(678) 625-7800
(678) 625-7888
Mailing address
2080 EASTSIDE DRIVE, SUITE A, CONYERS, GA 30013
(678) 625-7800
(678) 625-7888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000821939B
—
GA
Enumeration date
05/02/2006
Last updated
06/21/2010
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