Siddiqui, Kamran Fasih
Siddiqui, Kamran Fasih is an individual health care provider with primary practice located at 303 S Nappanee St , Elkhart IN 46514-2066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Siddiqui, Kamran Fasih can be contacted via phone (574) 296-3307.Contact Information
Primary practice address
303 S Nappanee St
Elkhart IN 46514-2066
Phone: (574) 296-3307
Fax: (574) 296-3309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01059787A | Indiana |
Profile Details
| NPI number | 1871596700 |
|---|---|
| LBN Legal business name | Siddiqui, Kamran Fasih |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jun 17th, 2019 - about 6 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 | 1871596700 | NPPES |
| Indiana | MEDICAID | 200464260 |
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