Individual
SIDDIQUE CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1231 W VINE ST # 19, LODI, CA 95240-5109
(209) 310-6156
Mailing address
1231 W VINE ST # 19, LODI, CA 95240-5109
(209) 310-6156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
431108019
MI
207R00000X
Internal Medicine Physician
C205240
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C205240
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD-47998
IA
207RP1001X
Pulmonary Disease Physician
C205240
CA
207RP1001X
Pulmonary Disease Physician
MD-47998
IA
Other
Enumeration date
07/21/2015
Last updated
02/18/2026
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