Peachtree Endocrinology | |
11660 Alpharetta Hwy Ste 600 Roswell GA 30076-3891 | |
(470) 913-7350 | |
Not Available |
Full Name | Peachtree Endocrinology |
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Speciality | Internal Medicine |
Location | 11660 Alpharetta Hwy Ste 600, Roswell, Georgia |
Authorized Official Name and Position | Muhammad Faisal Khan Siddiqui (PRACTICE OWNER/ENDOCRINOLOGIST) |
Authorized Official Contact | 4709137350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peachtree Endocrinology 307 Peppermill Ln Woodstock GA 30188-3111 Ph: (470) 913-7350 | Peachtree Endocrinology 11660 Alpharetta Hwy Ste 600 Roswell GA 30076-3891 Ph: (470) 913-7350 |
NPI Number | 1477381648 |
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Provider Enumeration Date | 07/22/2024 |
Last Update Date | 07/22/2024 |
Medicare PECOS PAC ID | 9830623586 |
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Medicare Enrollment ID | O20241118000927 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477381648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Muhammad F Siddiqui |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740578665 PECOS PAC ID: 8921237116 Enrollment ID: I20150218001147 |
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