Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0600X | Clinical Neurophysiologist | 35044466 | OH |
NPI | 1306859350 |
---|---|
Provider Name | Mehr Afroz Siddiqui |
First Address | Columbus, OH 43219-1834 |
Second Address | Columbus, OH 43219-1834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 22/12/2008 |