DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KHALEEQ HUSSAIN SIDDIQUI M.D.

MEDICARE: KHALEEQ HUSSAIN SIDDIQUI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianC161602CA
2207RG0100XGastroenterology PhysicianC161602CA

General Provider Information

NPI Number : 1174803563
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHALEEQ HUSSAIN SIDDIQUI M.D.
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line : ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
City : RANCHO CORDOVA
State : CA
Zip : 95670
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 782 E HARDING WAY
Second Line :
City : STOCKTON
State : CA
Zip : 95204-6101
Country : US
Telephone Number : 209-546-5200
Fax Number : 209-466-1982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2011
Last Update Date : 02/19/2026

Similar Medicare Providers

1598738122 — GEORGE E RISHWAIN M.D.
Practice Location Address:
782 E HARDING WAY
STOCKTON, CA
95204-6101
Practice Phone: 209-475-5500
Practice Fax: 209-466-1982
1730191065 — PAUL A WATERS MD
Practice Location Address:
782 E HARDING WAY
STOCKTON, CA
95204-6101
Practice Phone: 209-475-5500
Practice Fax: 209-466-1982
1174934897 — GURTEJ MALHI M.D
Practice Location Address:
782 E HARDING WAY
STOCKTON, CA
95204-6101
Practice Phone: 209-546-5200
Practice Fax: 209-466-1982
1447771688 — ANNE MARIE BARNETT MD
Practice Location Address:
782 E HARDING WAY
STOCKTON, CA
95204-6101
Practice Phone: 209-546-5200
Practice Fax: 209-466-1982
1568131811 — MR. GURPREET SINGH DHILLON NP
Practice Location Address:
782 E HARDING WAY
STOCKTON, CA
95204-6101
Practice Phone: 209-546-5200
Practice Fax: 209-466-1982
1861104416 — MRS. JESSICA MARIE KRAWCZYK FNP
Practice Location Address:
782 E HARDING WAY
STOCKTON, CA
95204-6101
Practice Phone: 209-546-5200
Practice Fax: 209-466-1982

Directions to “ KHALEEQ HUSSAIN SIDDIQUI M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.