Active NPI
Khursheed Siddiqui, MD PSC
- Pain Medicine Physician
- Danville, KY
National Provider Identifier
1831256114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- KHURSHEED SIDDIQUI, MD PSC
- Practice address
- 217 S 3Rd St
Danville, KY 40422-1823 - Phone
- (859) 239-1000
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khursheed A. Siddiqui, M.D.
- Title
- Owner
- Phone
- (859) 268-1030
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
217 S 3Rd St
Danville, KY 40422-1823
Mailing address
3320 Tates Creek Rd
Suite 204
Lexington, KY 40502-3400
Phone (859) 268-1030
National Provider Directory
National Provider Directory- Tax ID family
- Khursheed Siddiqui MD PSC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Danville, KY
- NPI 1134276744
Locations
3320 Tates Creek Rd
Ste 204
Lexington, KY 40502
Phone (606) 268-1030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417392000000",
"number": "1831256114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 TATES CREEK RD",
"address_2": "SUITE 204",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023400",
"telephone_number": "859-268-1030",
"fax_number": "859-269-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 S 3RD ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221823",
"telephone_number": "859-239-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHURSHEED SIDDIQUI, MD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2014-12-01",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "KHURSHEED",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-268-1030",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.