Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 30272 | AL |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 30272 | AL |
N | 2080P0207X | Pediatric Hematology-Oncologist | 4301090873 | MI |
NPI | 1225203078 |
---|---|
Provider Name | Abdul Hafeez Siddiqui |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-1512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 03/03/2017 |