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Contact Information

SIRAJ AHMED SIDDIQUI LLC
2666 LEXINGTON AVE
LEXINGTON, OH44904
 Phone: 419-884-7232
 Fax: 419-884-7683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SIRAJ AHMED SIDDIQUI LLC

NPI # 1497934921
LBN Legal business name SIRAJ AHMED SIDDIQUI LLC
Authorized official SIRAJ SIDDIQUI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2007
Last updated 01/27/2017 - About 9 years ago
Identifiers
OH License # 35065056S
OH Medicaid 0954347
OH Other 000000140397 ANTHEM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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