| Shahid N Siddiqui Md A Medical Corporation | |
|
43830 10th St W Lancaster CA 93534-4826 | |
| (661) 494-8600 | |
| Not Available |
| Full Name | Shahid N Siddiqui Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 43830 10th St W, Lancaster, California |
| Authorized Official Name and Position | Shahid N Siddiqui (CEO/OWNER) |
| Authorized Official Contact | 6613615793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahid N Siddiqui Md A Medical Corporation 26542 Brooks Cir Stevenson Ranch CA 91381-1432 Ph: (661) 361-5793 | Shahid N Siddiqui Md A Medical Corporation 43830 10th St W Lancaster CA 93534-4826 Ph: (661) 494-8600 |
| NPI Number | 1164932661 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Medicare PECOS PAC ID | 8022384759 |
|---|---|
| Medicare Enrollment ID | O20171025002123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164932661 | NPI | - | NPPES |
| A94134 | Other | CA | MEDIACAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A94134 (California) | Primary |
| Provider Name | Shahid N Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639276140 PECOS PAC ID: 2466450747 Enrollment ID: I20070712000846 |
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