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

Dr. Mohammed Nasiruddin Siddiqui, MDFACS

Individual provider Surgery Physician · NPI 1366513426

Dr. Mohammed Nasiruddin Siddiqui, MDFACS is a Surgery Physician in Jackson, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

609 New York Ranch Rd
Jackson, CA 95642-9328
Phone: (209) 257-0301
Fax: (209) 257-0302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence C51828 (CA)

Record details

NPI number1366513426
Entity typeIndividual (Type 1)
GenderMale
Credentials MDFACS
Sole proprietorYes
NPI enumeratedNovember 12, 2006
Last updated in NPPESJuly 8, 2007

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