Organization · NPI-2

A.S.F. Siddiqui, M.D., Ltd.

Internal Medicine · Las Vegas, NV

NPI number1407967060
StatusActive
Last updated in NPPESSep 23, 2016

Details

NPI
1407967060
Entity type
Organization (NPI-2)
Legal business name
A.S.F. Siddiqui, M.D., Ltd.
Organization subpart
No
Enumeration date
Aug 31, 2006
Last updated
Sep 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine8548NVYes

Practice location

9300 W Sunset Rd
Las Vegas, NV 89148-4844

Phone 702-921-6823 · Fax 702-549-5240

Mailing address

3540 W Sahara Ave # 330
Las Vegas, NV 89102-5816

Phone 702-921-6823 · Fax 702-549-5240

Authorized official

Abdul Siddiqui
Owner
7029216823

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