Individual
DANISH S SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, 1617, LOMA LINDA, CA 92354-2804
(909) 558-4200
Mailing address
11234 ANDERSON ST, 1617, LOMA LINDA, CA 92354-2804
(909) 558-4200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A88712
CA
207RI0011X
Interventional Cardiology Physician
Primary
A88712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A88712
LICENSE
CA
05
—
H70048
—
CA
Enumeration date
06/05/2006
Last updated
12/15/2015
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