Mujeeb U Siddiqui, DO
Surgery in Hannibal, MO. Individual provider (NPI-1).
NPI number1619974797
StatusActive
Last updated in NPPESJan 5, 2021
Details
- NPI
- 1619974797
- Entity type
- Individual (NPI-1)
- Name
- Mujeeb U Siddiqui
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2005
- Certification date
- Jan 5, 2021
- Last updated
- Jan 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 2019007495 | MO | Yes |
| 208600000X | Surgery | 34-008345 | OH |
Practice location
6500 Hospital DrHannibal, MO 63401-6890
Phone 573-629-3400 · Fax 573-629-3988
Mailing address
6500 Hospital DrHannibal, MO 63401-6890
Phone 573-629-3400 · Fax 573-629-3988
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