NPI 1831369842

Shahid K Siddiqui MD INC

Organisation Exclusive Provider Organization San Jose, CA

Practice location

Address: 200 Jose Figueres Ave STE 320, San Jose, CA 95116-1500
Phone: (408) 926-8100
Fax: (408) 926-8103

Authorised official

Name: Habeeb M Awais
Title: Manager
Phone: (408) 844-9670

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence G84465 (CA)

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1831369842
Entity type: Organization
NPI issued: 5 Mar 2008
Record last updated: 5 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.