Individual
DR. MOHAMMED NASIRUDDIN SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
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
208600000X
Surgery Physician
Primary
C51828
CA
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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