Siddiq, Tahir

Siddiq, Tahir is an individual health care provider with primary practice located at 102 Conecuh Ave W , Union Springs AL 36089-1303. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Siddiq, Tahir can be contacted via phone (334) 738-2140.

Contact Information

Primary practice address
102 Conecuh Ave W Union Springs AL 36089-1303
Phone: (334) 738-2140
Fax: (334) 738-1511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19681 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19681 Alabama
Other Service Providers / Specialist 174400000X 19681 Alabama

Profile Details

NPI number 1174631758
LBN Legal business name Siddiq, Tahir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174631758 NPPES
Alabama MEDICAID 000034042
Alabama Other 110128435
Alabama Other 051034042

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