Mohammed Siddiqui, M.D. a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

C-51828 Issued in CA

Legal business name

MOHAMMED SIDDIQUI, M.D. A PROFESSIONAL CORPORATION

Practice address

609 New York Ranch Rd
Jackson, CA 95642-9328

Phone

(209) 257-0301

Fax

(209) 257-0302

NPI assigned

Mar 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohammed Siddiqui, M.D.NPI 1366513426

Title

Owner

Phone

(209) 257-0301

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammed Nasiruddin Siddiqui, MD FACS

  • Surgery Physician
  • Jackson, CA
  • NPI 1366513426
  Authorized official Same address or phone
• Shanti Siddiqui, M.D.

  • Gastroenterology Physician
  • Jackson, CA
  • NPI 1679657860
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1326219361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429328",
            "telephone_number": "209-257-0301",
            "fax_number": "209-257-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429328",
            "telephone_number": "209-257-0301",
            "fax_number": "209-257-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED SIDDIQUI, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-257-0301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C-51828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Myatt Melniczek, MD
• Sandra Ann Mendoza
• Paul Kenji Metzger, M.D.
• Patti Annette Miller, RDH
• Aye Myat Moe, M.D.
• Shawnna Molina
• Robert George Monie, M.D.
• Edward Montalbo, DMD
• Maureen Patricia Mooney-Michels, R.D., C.D.E.
• Karen S Morgan-Nicodemus, D.C.

• Specialist in Jackson, CA
• Providers in Jackson, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.