SHOAB SIDDIQUE


Address: 3000 Q St, Sacramento, CA 95816-7058
Phone: 9167333333

SHOAB SIDDIQUE (NPI# 1972614436) 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) 1972614436
Entity Type Individual
Full Name SHOAB SIDDIQUE
Credential M.D.
Practice Address 3000 Q St
Sacramento
CA 95816-7058
Mailing Address 3400 Data Dr
Rancho Cordova
CA 95670-7956
Practice Telephone 9167333333
Enumeration Date 2006-08-31
Last Update Date 2012-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0007X Otolaryngology
Specialization: Plastic Surgery within the Head & Neck
A71415 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA UNITED HEALTHCARE 1968751 01
CA INTERPLAN 44530 01
CA AETNA 7796146 01
CA WESTERN HEALTH ADVANTAGE MCMG298400 01
CA PHCS 000810579445 01
CA BLUE CROSS A71415 01
CA 00A714150 05
CA PACIFICARE 90138939 01
CA HEALTH NET 079115 01
CA CIGNA 7494423 01
CA FIRST HEALTH 1837078 01
CA GREAT WEST 1294175 01

Office Location

Street Address 3000 Q ST
City SACRAMENTO
State CA
Zip Code 95816-7058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518959097 Lucian Maidan Psychiatry & Neurology 3000 Q St, Sacramento, CA 95816-7058 2005-08-19
1326505983 Mavile L Hernandez Pharmacy Technician 3000 Q St, Sacramento, CA 95816 2019-03-01
1437621216 Chloe Parra Pharmacist 3000 Q St, Sacramento, CA 95816-7058 2018-12-18
1912440918 Mariel Yapdiangco Nurse Practitioner 3000 Q St, Sacramento, CA 95816-7058 2016-11-22
1881040970 Caroline Lenaerts Registered Nurse 3000 Q St, Diabetes Education, Sacramento, CA 95816-7058 2016-05-09
1144614066 Sarah Alayne Timberman Nurse Practitioner 3000 Q St, Sacramento, CA 95816-7058 2015-03-28
1194149435 Nicole Zynda Physician Assistant 3000 Q St, Sacramento, CA 95816-7058 2014-02-06
1215366851 Nyssa Thomas Nurse Practitioner 3000 Q St, Sacramento, CA 95816-7058 2013-11-04
1124452271 Lindsey Zerhusen Nurse Practitioner 3000 Q St, Sacramento, CA 95816-7058 2013-08-26
1720338866 Connie Haynie Sieracki Audiologist 3000 Q St, Sacramento, CA 95816-7058 2012-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618917 Alyssa Weakley Clinical Neuropsychologist Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 2020-08-04
1417418955 Soraya Foutouhi Student in an Organized Health Care Education/Training Program 301 C Street, Suite 1400, Sacramento, CA 95816 2019-03-27
1265902704 Daljit Girn Behavior Technician 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 2018-11-27
1609385178 Jared James Harold-husted Behavior Technician 3031 C St, Sacramento, Sacramento, CA 95816 2017-09-27
1124537170 Phuong Huynh Behavior Technician 3009 C Street, Sacramento, CA 95816 2017-09-21
1427570811 Manpreet Kaur Chehal Counselor 500 22nd Street, Sacramento, CA 95816 2017-07-07
1295264646 Veronica Lynn Just Behavior Technician 3031 C St., Sacramento, CA 95816 2017-06-08
1285163907 Marquise Jones Behavior Technician 3031 C Street, Sacramento, CA 95816 2017-06-06
1578007159 Kate Hanel Student in an Organized Health Care Education/Training Program 2500 I St, Sacramento, CA 95816 2016-12-15
1184174534 Jennifer M Stegner Nurse Practitioner 1625 Stockton Blvd #104, Sacramento, CA 95816 2016-10-10
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Taxonomy Information

Taxonomy Code 207YX0007X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Plastic Surgery within the Head & Neck

Taxonomy Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831319326 Shamit Chopra Otolaryngology 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 2007-04-26
1669515862 Kaniff Cosmetic Medical Center, Inc Otolaryngology 631 Fulton Ave, Sacramento, CA 95825-4813 2007-02-15
1114312527 Amarbir Gill Otolaryngology 2521 Stockton Blvd, Ste. 7200, Sacramento, CA 95817-2207 2015-04-02
1669700712 Thomas E Kaniff Otolaryngology 631 Fulton Ave, Sacramento, CA 95825-4813 2009-12-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770041881 Robotic Brain and Spine Institute Inc Otolaryngology 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 2019-03-07
1447500269 Esrafil Abedi Md A Professional Corporation Otolaryngology 23961 Calle Magdalena St, 430, Laguna Hills, CA 92653-3685 2012-09-19
1184971194 Gabriel Gabarain Otolaryngology 4646 Brockton Ave Ste 201, Riverside, CA 92506 2012-08-08
1154636769 Louis G. Brennan Otolaryngology 4 Leicester Ct, Laguna Niguel, CA 92677-9380 2010-08-09
1568783470 Dana Kristopher Petersen Otolaryngology 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 2010-06-15
1275784233 Stephen Wayne Hargett Otolaryngology 1200 North State St., Los Angeles, CA 90033 2008-10-08
1568664548 Geoffrey Arthur Smith Otolaryngology 7910 Frost St # 420, San Diego, CA 92123-2771 2007-06-03
1194941641 Ronaldo A Ballecer Otolaryngology 540 E Herndon Ave Ste 105, Suite 105, Fresno, CA 93720-2993 2007-04-17
1881742674 Lynn J. Goodloe Otolaryngology 7230 Medical Center Dr Ste 302, West Hills, CA 91307-4032 2007-01-08
1740345503 David Julian Aroesty Otolaryngology 4418 Vineland Av, Suite 202, North Hollywood, CA 91602 2006-12-22
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Competitor

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City SACRAMENTO
Zip Code 95816

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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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