Individual
SEIR SIDDIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3106 ISHERWOOD WAY, FREMONT, CA 94536-3527
(510) 896-0006
Mailing address
3106 ISHERWOOD WAY, FREMONT, CA 94536-3527
(510) 896-0006
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
NOT AWARE
CA
Enumeration date
01/24/2022
Last updated
01/24/2022
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