Siddique, Awais H
Siddique, Awais H is an individual health care provider with primary practice located at 2500 W Layton Ave Ste 40 , Milwaukee WI 53221-5420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Siddique, Awais H can be contacted via phone (262) 577-0250.Contact Information
Primary practice address
2500 W Layton Ave Ste 40
Milwaukee WI 53221-5420
Phone: (262) 577-0250
Fax: (262) 577-0251
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 45810 | Wisconsin |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 45810 | Wisconsin |
Profile Details
NPI number | 1649387846 |
---|---|
LBN Legal business name | Siddique, Awais H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | Jan 4th, 2024 - about 11 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 | 1649387846 | NPPES |
Other | 11176041 | CAQH | |
MEDICAID | 34391800 | CAQH |
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