KHWAJA ALI SIDDIQUI MD NPI 1245344126

NPI Information

  • NPI: 1245344126
  • Provider Name: KHWAJA ALI SIDDIQUI, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 34845 YUCAIPA BLVD
    STE A
    YUCAIPA, CA
    ZIP 92399
  • Phone: (909) 790-1837

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NPI Details

Khwaja Ali Siddiqui, MD is a family medicine in Yucaipa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Khwaja Ali Siddiqui, MD NPI is 1245344126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34845 YUCAIPA BLVD
STE A
YUCAIPA, CA
ZIP 92399
Phone: (909) 790-1837
Fax: (909) 790-5878

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineC38594CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100C385940MEDICARE ID-TYPE UNSPECIFIED
200C385940MEDICAIDCALIFORNIA
3A36959MEDICARE UPIN

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: 3/30/2025

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