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Organization
MOHAMMED SIDDIQUI, M.D. A PROFESSIONAL CORPORATION
Active
Organization
MOHAMMED SIDDIQUI, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED SIDDIQUI M.D. (OWNER)
(209) 257-0301
Entity
Organization
Contact information
Practice address
609 NEW YORK RANCH RD, JACKSON, CA 95642-9328
(209) 257-0301
(209) 257-0302
Mailing address
609 NEW YORK RANCH RD, JACKSON, CA 95642-9328
(209) 257-0301
(209) 257-0302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C-51828
CA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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