Individual
SHAHID SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMINISTRATOR
Contact information
Practice address
5199 OLIVE DR, CONCORD, CA 94521-3175
(415) 637-4977
Mailing address
3935 HIDDEN GROVE LN, CONCORD, CA 94519-1161
(415) 637-4977
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
01/15/2021
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