Individual
SHOAB SIDDIQUE
Active
Individual
SHOAB SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
A71415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810579445
PHCS
CA
05
—
00A714150
—
CA
01
—
079115
HEALTH NET
CA
01
—
1294175
GREAT WEST
CA
01
—
1837078
FIRST HEALTH
CA
01
—
1968751
UNITED HEALTHCARE
CA
01
—
44530
INTERPLAN
CA
01
—
7494423
CIGNA
CA
01
—
7796146
AETNA
CA
01
—
90138939
PACIFICARE
CA
01
—
A71415
BLUE CROSS
CA
01
—
MCMG298400
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
08/31/2006
Last updated
02/13/2012
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