Siddiq, Khaliq

Siddiq, Khaliq is an individual health care provider with primary practice located at 279 Imperial Hwy Suite 770, Fullerton CA 92835-1041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Siddiq, Khaliq can be contacted via phone (714) 449-4803.

Contact Information

Primary practice address
279 Imperial Hwy Suite 770 Fullerton CA 92835-1041
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A79864 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A79864 California

Profile Details

NPI number 1598766230
LBN Legal business name Siddiq, Khaliq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated May 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598766230 NPPES
California Other 00A798640 MEDI- CAL

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