| Doctor Name: | DR. KHAN MOHAMMAD SIDDIQUI |
| NPI Number: | 1790734465 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD421401 |
| Business Practice Address: | 10 N Greene St Radiology - 114 Baltimore, MD - 212011524 |
| Business Phone Number: | 4106057175 |
| Business Fax Number: | |
| Mailing Address: | 11 Donagh Ct, TIMONIUM |
| State: | MD |
| Postal Code: | 210931956 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MD421401 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |