Provider Demographics
NPI:1124217690
Name:DENNIS, NILOUFER SIDDIQUI (MD)
Entity Type:Individual
Prefix:DR
First Name:NILOUFER
Middle Name:SIDDIQUI
Last Name:DENNIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:330 S MAGNOLIA AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-5290
Mailing Address - Country:US
Mailing Address - Phone:800-395-9431
Mailing Address - Fax:888-502-8290
Practice Address - Street 1:330 S MAGNOLIA AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-5290
Practice Address - Country:US
Practice Address - Phone:800-395-9431
Practice Address - Fax:888-502-8290
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101524207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology