Siddiqui, Mustafa S

Siddiqui, Mustafa S is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Siddiqui, Mustafa S can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax: (336) 716-9016
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2006-00924 North Carolina

Profile Details

NPI number 1326069063
LBN Legal business name Siddiqui, Mustafa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Nov 12th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326069063 NPPES
Other 7616819 AETNA
Other P00398024 AETNA
MEDICAID 10384605 AETNA
Other 142R4 AETNA
Other 190067 AETNA
MEDICAID 5906370 AETNA
MEDICAID 3810008600 AETNA
Other 808467 AETNA

Popular Providers