Individual
SHAFI ULLAH SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31569 CANYON ESTATES DR, STE 201, LAKE ELSINORE, CA 92532-0475
(951) 226-0866
(951) 226-0868
Mailing address
31569 CANYON ESTATES DR, STE 201, LAKE ELSINORE, CA 92532-0475
(951) 226-0866
(951) 226-0868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A102176
CA
Other
Enumeration date
12/27/2009
Last updated
12/03/2021
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