| Syed M Z A Siddiqi Md Pc Inc | |
|
93 Hickory Dr Beckley WV 25801-2834 | |
| (304) 255-9278 | |
| Not Available |
| Full Name | Syed M Z A Siddiqi Md Pc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 93 Hickory Dr, Beckley, West Virginia |
| Authorized Official Name and Position | Syed Mza Siddiqi (PRESIDENT) |
| Authorized Official Contact | 3042559278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed M Z A Siddiqi Md Pc Inc 93 Hickory Dr Beckley WV 25801-2834 Ph: (304) 255-9278 | Syed M Z A Siddiqi Md Pc Inc 93 Hickory Dr Beckley WV 25801-2834 Ph: (304) 255-9278 |
| NPI Number | 1164644886 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/06/2011 |
| Medicare PECOS PAC ID | 6800801952 |
|---|---|
| Medicare Enrollment ID | O20060213000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164644886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 11832 (West Virginia) | Primary |
| Provider Name | Syed Siddiqi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871584979 PECOS PAC ID: 2264447317 Enrollment ID: I20060213000056 |
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