Siddiqui, Khursheed A

Siddiqui, Khursheed A is an sole proprietor health care provider with primary practice located at 300 West Broadway , Danville KY 40422-1408. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Siddiqui, Khursheed A can be contacted via phone (859) 236-0606.

Contact Information

Primary practice address
300 West Broadway Danville KY 40422-1408
Phone: (859) 236-0606
Fax: (859) 236-0066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 28741 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 28741 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 28741 Kentucky
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 28741 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 28741 Kentucky

Profile Details

NPI number 1881634368
LBN Legal business name Siddiqui, Khursheed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Dec 16th, 2021 - about 3 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 1881634368 NPPES
Kentucky MEDICAID 64287410

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