Siddiqi, Siraj U
Siddiqi, Siraj U is an individual health care provider with primary practice located at 1019 Commerce Pkwy , La Grange KY 40031-8779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Siddiqi, Siraj U can be contacted via phone (502) 225-9098.Contact Information
Primary practice address
1019 Commerce Pkwy
La Grange KY 40031-8779
Phone: (502) 225-9098
Fax: (502) 225-9851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28062 | Kentucky |
Profile Details
| NPI number | 1912056318 |
|---|---|
| LBN Legal business name | Siddiqi, Siraj U |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Dec 3rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912056318 | NPPES |
| Kentucky | Other | 000000052106 | ANTHEM |
| Kentucky | MEDICAID | 64280621 | ANTHEM |
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