NPI 1023260874

Ghulam Jeelani Siddiqui, MD

Practitioner Gastroenterology Physician Springfield, MO

Practice location

Address: 2115 S Fremont Ave Suite 3300, Springfield, MO 65804-2239
Phone: (417) 820-5200
Fax: (417) 820-5220
Mailing address: PO Box 505164, Saint Louis, MO 63150-5164

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence 2013004553 (MO)

Other Internal Medicine providers in Missouri →

Registry record

NPI: 1023260874
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2008
Record last updated: 6 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.