Sidiq, Mohammad

Sidiq, Mohammad is an individual health care provider with primary practice located at 1039 Haskins Rd , Bowling Green OH 43402-9065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sidiq, Mohammad can be contacted via phone (419) 352-1121.

Contact Information

Primary practice address
1039 Haskins Rd Bowling Green OH 43402-9065
Phone: (419) 352-1121
Fax: (419) 352-1179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35034291S Ohio

Profile Details

NPI number 1740284413
LBN Legal business name Sidiq, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 2nd, 2010 - about 14 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 1740284413 NPPES
Ohio MEDICAID 0183626
Ohio Other DA5101

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