DR. SHANTI SIDDIQUI (NPI# 1679657860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679657860 |
| Entity Type | Individual |
| Full Name | DR. SHANTI SIDDIQUI |
| Credential | M.D. |
| Practice Address |
609 New York Ranch Rd Jackson CA 95642-9328 |
| Practice Telephone | 2092570311 |
| Practice Fax Number | 2092570302 |
| Mailing Telephone | 2092570311 |
| Mailing Fax Number | 2092570302 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C51834 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C518340 | 05 |
| Street Address |
609 NEW YORK RANCH RD |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-9328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407027444 | Shanti Siddiqui, M.d. A Professional Corporation | Specialist | 609 New York Ranch Rd, Jackson, CA 95642-9328 | 2008-03-18 |
| 1326219361 | Mohammed Siddiqui, M.d. A Professional Corporation | Specialist | 609 New York Ranch Rd, Jackson, CA 95642-9328 | 2008-03-18 |
| 1366513426 | Mohammed Nasiruddin Siddiqui | Surgery | 609 New York Ranch Rd, Jackson, CA 95642-9328 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374085 | St. Dominic Medical Associates LLC | Internal Medicine | 970 Lakeland Dr Ste 43, Jackson, MS 39216-4634 | 2018-11-07 |
| 1740353515 | Deborah S. Skelton | Internal Medicine | 971 Lakeland Dr Ste 1160, Jackson, MS 39216-4609 | 2006-11-17 |
| 1598708752 | Nadeem Ullah Md | Internal Medicine | 720 W Franklin, Suite 2, Jackson, MI 49201-1676 | 2006-06-14 |
| 1477525103 | Babu V Rao | Internal Medicine | 241 Stonebridge Blvd, Jackson, TN 38305-2179 | 2006-02-06 |
| 1447249354 | Gastrointestinal Endoscopy Center | Internal Medicine | 1405 N State St, Suite 300, Jackson, MS 39202-1642 | 2005-10-14 |
| 1649268822 | Billy W Long | Internal Medicine | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2005-10-11 |
| 1700873056 | Allan M Menachem | Internal Medicine | 9 Physicians Dr, Jackson, TN 38305-2071 | 2005-10-03 |
| 1376549816 | John Joseph Sheehan Jr. | Internal Medicine | 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 | 2005-06-21 |
| 1326585522 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-25 |
| 1730418831 | Nadeem Ullah Md Plc | Internal Medicine | 720 W Franklin St, Unit 2, Jackson, MI 49201-1674 | 2009-12-18 |
| Find all providers in JACKSON | ||||
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| 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.