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DR. SHANTI SIDDIQUI M.D.
NPI 1679657860
Internal Medicine - Gastroenterology in Jackson, CA

Active since October 24, 2006
609 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-0311(209) 257-0302 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shanti Siddiqui M.d. NPPES

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

DR. SHANTI SIDDIQUI M.D. (NPI 1679657860) is an individual gastroenterology provider in Jackson, California, licensed in California (C51834) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1679657860
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHANTI SIDDIQUICredential: M.D.
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
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679657860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · C51834
Definition
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.
609 NEW YORK RANCH RD, Jackson, CA 95642
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Other Identifiers 3

Medicare UPIND15635
Medicare ID-Type UnspecifiedZZZ325042
Medicaid00C518340CA

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
SHANTI SIDDIQUI, M.D. A PROFESSIONAL CORPORATION
Specialist
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's NPI number?

The NPI number for Shanti Siddiqui is 1679657860. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Shanti Siddiqui located?

Shanti Siddiqui practices at 609 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 257-0311.

What is Shanti Siddiqui's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Shanti Siddiqui was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.