Siddiq, Y Khalid

Siddiq, Y Khalid is an sole proprietor health care provider with primary practice located at 1700 Hospital South Dr Suite 200, Austell GA 30106-6810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Siddiq, Y Khalid can be contacted via phone (770) 948-5578.

Contact Information

Primary practice address
1700 Hospital South Dr Suite 200 Austell GA 30106-6810
Phone: (770) 948-5578
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1023085081
LBN Legal business name Siddiq, Y Khalid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Jan 28th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023085081 NPPES
Georgia MEDICAID 00152655A

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