Organization
ALI SIDDIQUI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SIDDIQUI M.D. (OWNER)
(918) 744-2725
Entity
Organization
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2725
Mailing address
PO BOX 52224, TULSA, OK 74152-0224
(918) 744-2725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14925
OK
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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