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
Phone: (714) 449-4803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598766230 | NPPES |
| California | Other | 00A798640 | MEDI- CAL |
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