Shafi Siddiqi MD a Professional Corporation
NPI #1477229995 in Lake Elsinore, California
Provider Information
- NPI Number
- 1477229995
- Entity Type
- Organization
- Organization Name
- Shafi Siddiqi MD a Professional Corporation
- Primary Specialty
- General Practice
- Enumeration Date
- Aug 17, 2021
- Last Updated
- Aug 17, 2021
Practice Location
- Address
- 31569 CANYON ESTATES DR STE 201
- City
- Lake Elsinore
- State
- California
- ZIP Code
- 92532-0475
- Phone
- (951) 226-0866
Authorized Official
- Name
- MISS BRIGETTE JACKSON
- Title
- CREDENTIALING SPECIALIST
- Phone
- (951) 667-0817
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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