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Individual

KHALEEQ HUSSAIN SIDDIQUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
782 E HARDING WAY, STOCKTON, CA 95204-6101
(209) 546-5200
(209) 466-1982
Mailing address
3400 DATA DR, ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT, RANCHO CORDOVA, CA 95670

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C161602
CA
207RG0100X
Gastroenterology Physician
Primary
C161602
CA

Other

Enumeration date
08/17/2011
Last updated
02/19/2026
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