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Organization
SHAHID N SIDDIQUI MD A MEDICAL CORPORATION
Active
Organization
SHAHID N SIDDIQUI MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID N SIDDIQUI MD (CEO/OWNER)
(661) 361-5793
Entity
Organization
Contact information
Practice address
43830 10TH ST W, LANCASTER, CA 93534-4826
(661) 494-8600
Mailing address
26542 BROOKS CIR, STEVENSON RANCH, CA 91381-1432
(661) 361-5793
(800) 890-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A94134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A94134
MEDIACAL LICENSE NUMBER
CA
Enumeration date
10/10/2017
Last updated
10/10/2017
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