Siddique, Shoab

Siddique, Shoab is an individual health care provider with primary practice located at 3000 Q St , Sacramento CA 95816-7058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Siddique, Shoab can be contacted via phone (916) 733-3333.

Contact Information

Primary practice address
3000 Q St Sacramento CA 95816-7058
Phone: (916) 733-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X A71415 California

Profile Details

NPI number 1972614436
LBN Legal business name Siddique, Shoab
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972614436 NPPES
California Other 000810579445 PHCS
California Other 1837078 PHCS
California Other 44530 PHCS
California Other 7494423 PHCS
California MEDICAID 00A714150 PHCS
California Other 7796146 PHCS
California Other 1294175 PHCS
California Other A71415 PHCS
California Other 079115 PHCS
California Other 1968751 PHCS
California Other 90138939 PHCS
California Other MCMG298400 PHCS

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