Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 63220 | TN |
N | 111NI0900X | Internist | 63220 | TN |
N | 207R00000X | Internist | MT204164 | PA |
N | 111NI0900X | Internist | MT204164 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 63220 | TN |
N | 207RC0000X | Internist - Cardiovascular Disease | 63220 | TN |
NPI | 1740626837 |
---|---|
Provider Name | Dr. Hasan Siddiqi |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2013 |
Last Update Date | 15/09/2021 |