Siddiqi, Anwer Mukhtar

Siddiqi, Anwer Mukhtar is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Siddiqi, Anwer Mukhtar can be contacted via phone (904) 244-4218.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 244-4218
Fax: (904) 244-4060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 17808 Mississippi
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME113588 Florida

Profile Details

NPI number 1548294630
LBN Legal business name Siddiqi, Anwer Mukhtar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 19th, 2013 - about 11 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 1548294630 NPPES
Georgia MEDICAID 003127931A
Georgia Other 14N4J
Georgia Other P00622805
Georgia MEDICAID 007244100
Georgia Other P00236922
Georgia MEDICAID 00126474
Georgia MEDICAID 1885797

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