Siddiqui, Khalid A.

Siddiqui, Khalid A. is an individual health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Siddiqui, Khalid A. can be contacted via phone (779) 696-4400.

Contact Information

Primary practice address
1401 E State St Rockford IL 61104-2315
Phone: (779) 696-4400
Fax: (779) 490-5906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036-087584 Illinois

Profile Details

NPI number 1538279724
LBN Legal business name Siddiqui, Khalid A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 16th, 2018 - about 7 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 1538279724 NPPES
Illinois MEDICAID 036087584

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