Individual provider · Type 1 NPI

Imran Ahmed Siddiqi, DO

Student in an Organized Health Care Education/Training Program · Moreno Valley, CA

NPI number 1003487018 Active

Practice location

26520 Cactus Ave., Ruhs-Mc Ed Bldg Rm. 339
Moreno Valley, CA 92555

Call (951) 486-5912 Map

Fax (951) 486-5910

Mailing address

13162 58th St
Eastvale, CA 92880-4601

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003487018

Imran Ahmed Siddiqi, DO's National Provider Identifier is 1003487018, issued on Jul 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 9, 2021.