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AMAR SIDDIQUE MD INC NPI 1538574660


NPI Information

NPI: 1538574660
Provider Name: AMAR SIDDIQUE MD INC

Doing Business As: CLOVIS PEDIATRIC GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2086930

Address:
726 N MEDICAL CENTER DR E STE 205
CLOVIS, CA
ZIP 93611
Phone: (559) 908-4852
Get Directions

AMAR SIDDIQUE MD INC is a pediatrics in Clovis, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. AMAR SIDDIQUE MD INC NPI is 1538574660. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clovis Pediatric Group.

The provider's business location address is:

726 N MEDICAL CENTER DR E STE 205
CLOVIS, CA
ZIP 93611-886
Phone: (559) 908-4852
Fax: (559) 354-5214

The provider's authorized official is Amar Siddique .
The authorized official title is President and has the following contact phone number (559) 908-4852.

The CLIA number assigned to this NPI record is 05D2086930 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2014 and was last updated on 6/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA93835CALIFORNIAYes
22080N0001XPediatricsNeonatal-Perinatal MedicineA93835CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A938350MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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