Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | D006034 | MD |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME96330 | FL |
NPI | 1124055306 |
---|---|
Provider Name | Dr. Farhan Naveed Siddiqi |
First Address | Odessa, FL 33556-3427 |
Second Address | Odessa, FL 33556-3445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 27/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I37453 | (02) |