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Ibrahim Siddiqui, DO
Student in an Organized Health Care Education/Training Program in Salem, Virginia
NPI 1811699549

Ibrahim Siddiqui is a Student in an Organized Health Care Education/Training Program based in Elizabethtown, VA. Ibrahim Siddiqui practices in Salem, VA and has the professional credentials of DO. The NPI Number for Ibrahim Siddiqui is 1811699549 and holds a License No. (Virginia).

The current practice location address for Ibrahim Siddiqui is 1900 Electric Rd, Salem, VA and can be reached out via phone at 540-776-4000.

Location: 1900 Electric Rd, Salem, VA, 42701-9412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811699549
Provider Name
Ibrahim Siddiqui
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1900 Electric Rd, Salem, VA, 42701-9412
Phone Number
540-776-4000
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 Electric Rd
City
Salem
State
Virginia
Zip
24153-7474
Phone Number
540-776-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Electric Rd
City
Salem
State
Virginia
Zip
24153-7474
Phone Number
540-776-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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