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SHANTI SIDDIQUI, M.D. A PROFESSIONAL CORPORATION
NPI 1407027444
Specialist in Jackson, CA

Active since March 18, 2008
609 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-0311(209) 257-0302 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanti Siddiqui, M.d. A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTI SIDDIQUI, M.D. A PROFESSIONAL CORPORATION (NPI 1407027444) is a healthcare organization registered as a specialist in Jackson, California and active in the NPI registry since March 2008. The organization lists Shanti Siddiqui, Owner, as its authorized official.

NPPES Registry Identity

NPI1407027444
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHANTI SIDDIQUI, M.D. A PROFESSIONAL CORPORATION
Location Address609 NEW YORK RANCH RDJackson, CA 95642-9328
Mailing Address609 New York Ranch RdJackson, CA 95642-9328 · (209) 257-0311 · Fax (209) 257-0302
Phone(209) 257-0311
Fax(209) 257-0302
Organization SubpartNo
Authorized OfficialShanti SiddiquiOwner · (209) 257-0311
Enumeration DateMarch 18, 2008
✔ NPI 1407027444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · C-51834
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
609 NEW YORK RANCH RD, Jackson, CA 95642
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Other Identifiers 2

Medicare PINZZZ32504ZCA
Medicare UPINZZZ32504ZCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMED SIDDIQUI, M.D. A PROFESSIONAL CORPORATION
Specialist
609 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-0301
DR. MOHAMMED NASIRUDDIN SIDDIQUI MD FACS
Surgery
609 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-0301
DR. SHANTI SIDDIQUI M.D.
Internal Medicine (Gastroenterology)
609 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-0311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanti Siddiqui, M.D. A Professional Corporation's NPI number?

The NPI number for Shanti Siddiqui, M.D. A Professional Corporation is 1407027444. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is Shanti Siddiqui, M.D. A Professional Corporation located?

Shanti Siddiqui, M.D. A Professional Corporation is located at 609 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 257-0311.

What is Shanti Siddiqui, M.D. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shanti Siddiqui, M.D. A Professional Corporation was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.