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Shoab Siddique, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Sacramento, California
NPI 1972614436

Shoab Siddique is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Rancho Cordova, CA and is specialized in Plastic Surgery within the Head & Neck. Shoab Siddique practices in Sacramento, CA and has the professional credentials of MD. The NPI Number for Shoab Siddique is 1972614436 and holds a License No. A71415 (California).

The current practice location address for Shoab Siddique is 3000 Q St, Sacramento, CA and can be reached out via phone at 916-733-3333.

Location: 3000 Q St, Sacramento, CA, 95670-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972614436
Provider Name
Shoab Siddique
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3000 Q St, Sacramento, CA, 95670-7956
Phone Number
916-733-3333
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000810579445 01 CA PHCS
1837078 01 CA FIRST HEALTH
44530 01 CA INTERPLAN
7494423 01 CA CIGNA
00A714150 05 CA
7796146 01 CA AETNA
1294175 01 CA GREAT WEST
A71415 01 CA BLUE CROSS
079115 01 CA HEALTH NET
1968751 01 CA UNITED HEALTHCARE
90138939 01 CA PACIFICARE
MCMG298400 01 CA WESTERN HEALTH ADVANTAGE
institution
Provider Business Practice Location Address Details
Address
3000 Q St
City
Sacramento
State
California
Zip
95816-7058
Phone Number
916-733-3333
Fax Number
person
Provider Business Mailing Address Details
Address
3000 Q St
City
Sacramento
State
California
Zip
95816-7058
Phone Number
916-733-3333
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
A71415 (California)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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