ADAM SIDDIQUI


Address: 2201 W Broadway Apt B201, Anaheim, CA 92804-1351
Phone: 7143663672

ADAM SIDDIQUI (NPI# 1285933416) 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) 1285933416
Entity Type Individual
Full Name ADAM SIDDIQUI
Credential R.EPT, CNIM
Practice Address 2201 W Broadway Apt B201
Anaheim
CA 92804-1351
Practice Telephone 7143663672
Mailing Telephone 7143663672
Enumeration Date 2011-03-28
Last Update Date 2012-11-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
REPT1104 Technologists, Technicians & Other Technical Service Providers
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
CNIM2124 Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 2201 W BROADWAY APT B201
City ANAHEIM
State CA
Zip Code 92804-1351

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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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1144564477 Quality Neuro Supply LLC Specialist/Technologist, Other 2201 W Broadway, Suite B201, Anaheim, CA 92804-2374 2012-11-27

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Competitor

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City ANAHEIM
Zip Code 92804

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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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