Individual
ABDUL HASAN SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1025 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 864-4030
(606) 864-0115
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-148564
IL
207R00000X
Internal Medicine Physician
287538
NY
207RP1001X
Pulmonary Disease Physician
036-148564
IL
207RP1001X
Pulmonary Disease Physician
Primary
55387
KY
Other
Enumeration date
08/21/2013
Last updated
09/03/2021
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