Individual
ADAM SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.EPT, CNIM
Contact information
Practice address
2655 1ST ST STE 250, SIMI VALLEY, CA 93065-1574
(214) 972-8151
(877) 705-3046
Mailing address
2781 ITHACA PLACE, LEWISVILLE, TX 75067
(214) 972-8151
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
2124
CA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
CNIM2124
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
REPT1104
—
Other
Enumeration date
03/28/2011
Last updated
10/08/2024
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