Individual
SIRAJ U SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3280
(502) 575-6234
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28062
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052106
ANTHEM
KY
05
—
64280621
—
KY
Enumeration date
01/09/2007
Last updated
09/23/2025
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