Individual
ARIFA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-8983
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-8983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01067640A
IN
207Q00000X
Family Medicine Physician
Primary
45638
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200983410
—
IN
01
—
K259390
MEDICARE KY
KY
Enumeration date
07/10/2008
Last updated
04/13/2018
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