Individual
AYESHA SIDDIQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3425 COFFEE RD, SUITE 2A, MODESTO, CA 95355-1582
(209) 524-9401
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
005534
GA
2084P0800X
Psychiatry Physician
Primary
A145390
CA
Other
Enumeration date
06/26/2012
Last updated
10/31/2016
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