Dr GHULAM J SIDDIQUI is a male medical professional, specializing in Gastroenterology. He graduated in 2004.
MERCY CLINIC SPRINGFIELD COMMUNITIES
2115 S FREMONT AVE
3300 MC GASTROENTEROLOGY WHITESIDE
SPRINGFIELD
MO
658042246
Tel: 4178205200
| Npi | 1023260874 |
| Pac Id | 0648404731 |
| Professional Enrollment Id | I20131002000698 |
| Last Name | SIDDIQUI |
| First Name | GHULAM |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Group Practice Pac Id | 7416865845 |
| Number Of Group Practice Members | 933 |
| Line 1 Street Address | 2115 S FREMONT AVE |
| Line 2 Street Address | 3300 MC GASTROENTEROLOGY WHITESIDE |
| Marker Of Address Line 2 Suppression | |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 658042246 |
| Phone Number | 4178205200 |
| Hospital Affiliation Ccn 1 | 260065 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL SPRINGFIELD |
| Hospital Affiliation Ccn 2 | 260040 |
| Hospital Affiliation Lbn 2 | COX MEDICAL CENTERS |
| Hospital Affiliation Ccn 3 | 261335 |
| Hospital Affiliation Lbn 3 | MERCY ST FRANCIS HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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