Siddiqui, Mahmood Abdul

Siddiqui, Mahmood Abdul is an sole proprietor health care provider with primary practice located at 144 Medical Center Dr #B , Copperhill TN 37317-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Siddiqui, Mahmood Abdul can be contacted via phone (423) 496-9214.

Contact Information

Primary practice address
144 Medical Center Dr #B Copperhill TN 37317-5000
Phone: (423) 496-9214
Fax: (423) 496-7809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000026174 Tennessee

Profile Details

NPI number 1568439453
LBN Legal business name Siddiqui, Mahmood Abdul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Apr 3rd, 2023 - about last year

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 1568439453 NPPES
Tennessee MEDICAID 3089399

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