Siddiquee, Masood
Siddiquee, Masood is an individual health care provider with primary practice located at 2080 Eastside Drive Suite A, Conyers GA 30013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Siddiquee, Masood can be contacted via phone (678) 625-7800.Contact Information
Primary practice address
2080 Eastside Drive Suite A
Conyers GA 30013
Phone: (678) 625-7800
Fax: (678) 625-7888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047154 | Georgia |
Profile Details
| NPI number | 1871551788 |
|---|---|
| LBN Legal business name | Siddiquee, Masood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jun 21st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871551788 | NPPES |
| Georgia | MEDICAID | 000821939B |
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