Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 18704 | NV |
N | 207RP1001X | Pulmonary Disease | 0101255911 | VA |
N | 207RP1001X | Pulmonary Disease | 18704 | NV |
NPI | 1083903678 |
---|---|
Provider Name | Dr. Faisal M. Siddiqui |
First Address | Reno, NV 89502-2597 |
Second Address | Reno, NV 89502-2597 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 18/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083903678 | (05) | VA |