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Individual

SIDDIQUE ABBASI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
80 E HILLCREST DR STE 102, THOUSAND OAKS, CA 91360-4219
(805) 497-3575
Mailing address
80 E HILLCREST DR STE 102, THOUSAND OAKS, CA 91360-4219
(805) 497-3575

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
249446-1
NY
207RC0000X
Cardiovascular Disease Physician
036123863
IL
207RC0000X
Cardiovascular Disease Physician
Primary
C165619
CA
207RC0000X
Cardiovascular Disease Physician
MD14689
RI

Other

Enumeration date
08/03/2006
Last updated
06/01/2022
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