Individual
IMRAN E. SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3710 MISHOE STREET, MED SHARE BLDG., LORIS, SC 29569-2822
(843) 716-7911
(843) 716-7918
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 716-7911
(843) 716-7918
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
33339
SC
207RP1001X
Pulmonary Disease Physician
33339
SC
Other
Enumeration date
03/15/2007
Last updated
10/04/2012
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