Organization · Type 2 NPI
Tahir Siddiq
Primary Care Clinic/Center · Pike Road, AL
NPI number
1114591393
Active
Practice location
441 Chaseway Dr
Pike Road, AL 36064-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1114591393
Tahir Siddiq's National Provider Identifier is 1114591393, issued on May 13, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Pike Road, AL. The record was last updated on Jul 13, 2022.