Siddique, Naveed

Siddique, Naveed is an sole proprietor health care provider with primary practice located at 1310 E Boone St , Tahlequah OK 74464-3338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Siddique, Naveed can be contacted via phone (918) 456-7700.

Contact Information

Primary practice address
1310 E Boone St Tahlequah OK 74464-3338
Phone: (918) 456-7700
Fax: (918) 458-9314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18013 Oklahoma

Profile Details

NPI number 1720122914
LBN Legal business name Siddique, Naveed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Jun 4th, 2019 - about 5 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 1720122914 NPPES
Oklahoma Other 1376513002 NPI FOR CORPORATION
Oklahoma MEDICAID 100822410D NPI FOR CORPORATION

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