KHALEEQ HUSSAIN SIDDIQUI


Address: 1800 N California St, Stockton, CA 95204-6019
Phone: 2094676432

KHALEEQ HUSSAIN SIDDIQUI (NPI# 1174803563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174803563
Entity Type Individual
Full Name KHALEEQ HUSSAIN SIDDIQUI
Credential M.D.
Practice Address 1800 N California St
Stockton
CA 95204-6019
Practice Telephone 2094676432
Mailing Telephone 2094676432
Enumeration Date 2011-08-17
Last Update Date 2019-07-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine C161602 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 Locust St, Pittsburgh, PA 152195114 4122328080

Office Location

Street Address 1800 N CALIFORNIA ST
City STOCKTON
State CA
Zip Code 95204-6019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619974219 St. Joseph's Surgery Center Lp Clinic/Center 1800 N California St, Ste 1, Stockton, CA 95204-6019 2005-06-28
1679174940 Simon Yeung Pharmacist 1800 N California St, Stockton, CA 95204-6019 2020-11-04
1275140584 Rajwinder K Gill Registered Nurse 1800 N California St, Stockton, CA 95204-6019 2020-09-30
1447865787 Rinky Saini Prasad Registered Nurse 1800 N California St, Stockton, CA 95204-6019 2020-09-14
1821609611 Dustin Tien Le Pharmacist 1800 N California St, Stockton, CA 95204-6019 2020-08-14
1013534254 Nancy Thi Nguyen Speech-Language Pathologist 1800 N California St, Stockton, CA 95204-6019 2020-07-04
1861015646 Sana Mohyud Din Chaudhary Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-27
1942822184 Kenneth Jerome Hainsworth Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-11
1083236368 Chase Rogers Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-10
1093336919 Joel Rabara Respiratory Therapist, Registered 1800 N California St, Stockton, CA 95204-6019 2020-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962027524 Kariem Abdelwahed Licensed Vocational Nurse 1630 N. Edison St Stockton Ca, Stockton, CA 95204 2020-06-10
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1235614116 Michelle Ann Horn Marriage & Family Therapist 3666 Mission Rd, Stockton, CA 95204 2018-09-26
1356830947 Stockton Pace PACE Provider Organization 582 E. Harding Way, Stockton, CA 95204 2018-05-09
1790228781 Rebecca Phongsa Counselor 1947 North Calfornia Street, Suite B, Stockton, CA 95204 2016-11-23
1700332905 Serim Kang Driver 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 2016-08-28
1033565544 Philip John Brereton Orthotist 466 E Harding Way, Stockton, CA 95204 2016-05-13
1932507522 David Grayson Counselor 1621 Brookside Rd, Stockton, CA 95204 2014-12-12
1174934897 Gurtej Malhi Internal Medicine 1901 N California Street, Stockton, CA 95204 2014-05-15
1396156170 Rajesh Saini Nurse Practitioner 1805 N California St. Suite 102, Stockton, CA 95204 2014-05-14
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255956132 Adventist Health Physicians Network Internal Medicine 10200 Trinity Pkwy Ste 102, Stockton, CA 95219-7287 2020-06-16
1750773792 Centurion Valley Healthcare Inc. Internal Medicine 6337 Brook Hollow Cir, Stockton, CA 95219-2441 2015-02-27
1134477599 Mahboob Ali Internal Medicine 1801 E March Ln Ste A170, Stockton, CA 95210-6673 2012-08-16
1841586781 Brian Aloyisus Boyle Internal Medicine 112 Dunkard Church Rd, Stockton, NJ 08559-1406 2011-06-20
1154635506 Shalini Madugundi Internal Medicine 2015 E Mariposa Rd, Stockton, CA 95205-7735 2010-07-27
1952534927 Geriatrics Long Term Care Medical Corporation Internal Medicine 1240 Robinhood Drive, Suite A, Stockton, CA 95207-5507 2009-08-25
1558504514 Ivan Safonoff Internal Medicine 90 Stompf Tavern Rd, Stockton, NJ 08559-1801 2009-04-07
1427212653 Connie Tang Singh Internal Medicine 1801 E March Ln Ste C310, Stockton, CA 95210-6683 2008-07-16
1285897892 Rashaad Ahmed Chothia Internal Medicine 415 E Harding Way Ste I, Stockton, CA 95204 2008-07-03
1346400546 Swetha Ramachandran Internal Medicine 5049 Pine Lake Ct, Stockton, CA 95219-2030 2008-06-11
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Competitor

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City STOCKTON
Zip Code 95204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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