National Provider Identifier Database

SHOAB SIDDIQUE, MD – NPI #1972614436
Plastic Surgery within the Head & Neck

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.


Contact Information

SHOAB SIDDIQUE, MD
3000 Q ST
SACRAMENTO, CA95816-7058
Phone: 916-733-3333
Fax:
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for SHOAB SIDDIQUE

NPI Number 1972614436
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 02/13/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A71415
  • CA Medicaid: 00A714150
  • CA Other: 7796146 AETNA
  • CA Other: A71415 BLUE CROSS
  • CA Other: 7494423 CIGNA
  • CA Other: 1837078 FIRST HEALTH
  • CA Other: 1294175 GREAT WEST
  • CA Other: 079115 HEALTH NET
  • CA Other: 44530 INTERPLAN
  • CA Other: 90138939 PACIFICARE
  • CA Other: 000810579445 PHCS
  • CA Other: 1968751 UNITED HEALTHCARE
  • CA Other: MCMG298400 WESTERN HEALTH ADVANTAGE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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