Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | C51941 | CA |
NPI | 1134190374 |
---|---|
Provider Name | Naeem A Siddiqi |
First Address | Madera, CA 93637-5647 |
Second Address | Madera, CA 93637-5647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 06/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C519410 | (05) | CA |
E62645 | (02) | CA |