Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanti Siddiqui, MD a Professional Corporation

Organization Specialist · NPI 1407027444

Shanti Siddiqui, MD a Professional Corporation is a Specialist in Jackson, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

609 New York Ranch Rd
Jackson, CA 95642-9328
Phone: (209) 257-0311
Fax: (209) 257-0302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence C-51834 (CA)

Record details

NPI number1407027444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanti Siddiqui — Owner · (209) 257-0311
NPI enumeratedMarch 18, 2008
Last updated in NPPESMarch 18, 2008
Mailing address609 New York Ranch Rd, Jackson, CA 95642-9328

Other providers in Jackson