| NPI | 1407855935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHURSHEED SIDDIQUI Owner/Group President 859-236-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 28741) |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2017-12-28 |