Provider Demographics
NPI:1740578665
Name:SIDDIQUI, MUHAMMAD FAISAL KHAN (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD FAISAL
Middle Name:KHAN
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1475 HOLCOMB BRIDGE RD STE 129
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2126
Mailing Address - Country:US
Mailing Address - Phone:678-325-2250
Mailing Address - Fax:678-325-2261
Practice Address - Street 1:1475 HOLCOMB BRIDGE RD STE 129
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2126
Practice Address - Country:US
Practice Address - Phone:678-325-2250
Practice Address - Fax:678-325-2261
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2024-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA72924207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine