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Shanti Siddiqui, M.d. A Professional Corporation
Specialist in Jackson, California
NPI 1407027444

Shanti Siddiqui, M.d. A Professional Corporation is a Specialist based in Jackson, CA. Shanti Siddiqui, M.d. A Professional Corporation practices in Jackson, CA. The NPI Number for Shanti Siddiqui, M.d. A Professional Corporation is 1407027444 and holds a License No. C-51834 (California).

The current practice location address for Shanti Siddiqui, M.d. A Professional Corporation is 609 New York Ranch Rd, Jackson, CA and can be reached out via phone at 209-257-0311 and via fax at 209-257-0302.

Location: 609 New York Ranch Rd, Jackson, CA, 95642-9328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407027444
Provider Name
Shanti Siddiqui, M.d. A Professional Corporation
Credential
Provider Entity Type
Organization
Address
609 New York Ranch Rd, Jackson, CA, 95642-9328
Phone Number
209-257-0311
Fax Number
209-257-0302
Provider Enumeration Date
03/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 New York Ranch Rd
City
Jackson
State
California
Zip
95642-9328
Phone Number
209-257-0311
Fax Number
209-257-0302
person
Provider Business Mailing Address Details
Address
609 New York Ranch Rd
City
Jackson
State
California
Zip
95642-9328
Phone Number
209-257-0311
Fax Number
209-257-0302
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C-51834 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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