Organization
SHAHID K SIDDIQUI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABEEB M AWAIS (MANAGER)
(408) 844-9670
Entity
Organization
Contact information
Practice address
200 JOSE FIGUERES AVE, STE 320, SAN JOSE, CA 95116-1500
(408) 926-8100
(408) 926-8103
Mailing address
200 JOSE FIGUERES AVE, STE 320, SAN JOSE, CA 95116-1500
(408) 926-8100
(408) 926-8103
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
G84465
CA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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