Organization
AMAR SIDDIQUE MD INC
Active
Other names
CLOVIS PEDIATRIC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMAR SIDDIQUE M.D (PRESIDENT)
(559) 908-4852
Entity
Organization
Contact information
Practice address
726 N MEDICAL CENTER DR E STE 205, CLOVIS, CA 93611-6886
(559) 908-4852
(559) 354-5214
Mailing address
726 N MEDICAL CENTER DR E STE 205, CLOVIS, CA 93611-6886
(559) 908-4852
(559) 354-5214
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A93835
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
A93835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A938350
—
CA
Enumeration date
06/26/2014
Last updated
06/20/2021
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