Shafi Siddiqi MD a Professional Corporation
Shafi Siddiqi MD a Professional Corporation is a General Practice Physician in Lake Elsinore, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
31569 Canyon Estates Dr Ste 201Lake Elsinore, CA 92532-0475
Phone: (951) 226-0866
Fax: (951) 226-0868
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1477229995 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brigette Jackson — Credentialing Specialist · (951) 667-0817 |
| NPI enumerated | August 17, 2021 |
| Last updated in NPPES | August 17, 2021 |
| Certification date | August 17, 2021 |
| Mailing address | 31569 Canyon Estates Dr Ste 201, Lake Elsinore, CA 92532-0475 |
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Thomas Edward Oliveira, DO
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Shafi Ullah Siddiqi, MD
31569 Canyon Estates Dr Ste 201, Lake Elsinore, CA 92532-0475 · (951) 226-0866