Siddiq, Yahya Khalid

Siddiq, Yahya Khalid is an sole proprietor health care provider with primary practice located at 3825 Medical Park Dr Ste 200 , Austell GA 30106-6831. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Siddiq, Yahya Khalid can be contacted via phone (770) 948-5578.

Contact Information

Primary practice address
3825 Medical Park Dr Ste 200 Austell GA 30106-6831
Phone: (770) 948-5578
Fax: (770) 999-2363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 018954 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 018954 Georgia

Profile Details

NPI number 1023085081
LBN Legal business name Siddiq, Yahya Khalid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Feb 24th, 2026 - about 9 months 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 1023085081 NPPES
Georgia MEDICAID 00152655A

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