Individual
DR. JAVEED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3400 DOUGLAS BLVD STE 225, ROSEVILLE, CA 95661-4283
(916) 740-3721
(916) 783-0513
Mailing address
3400 DOUGLAS BLVD STE 225, ROSEVILLE, CA 95661-4283
(916) 740-3721
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A65726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A657260
MEDI-CAL
CA
Enumeration date
01/23/2006
Last updated
04/27/2020
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