Siddique, Afsheen
Siddique, Afsheen is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Moore GA 31905-2102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Siddique, Afsheen can be contacted via phone (762) 408-0374.Contact Information
Primary practice address
6600 Van Aalst Blvd Bldg 9250
Fort Moore GA 31905-2102
Phone: (762) 408-0374
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34287 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20414 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 80234 | Zz |
Profile Details
| NPI number | 1235380593 |
|---|---|
| LBN Legal business name | Siddique, Afsheen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2008 |
| Last updated | Jul 5th, 2024 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235380593 | NPPES |
| Mississippi | MEDICAID | 07372301 | |
| Mississippi | Other | 20414 |
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