Provider Demographics
NPI:1467526004
Name:SIDDIQI, TAUSEEF AFAQ (MD)
Entity Type:Individual
Prefix:DR
First Name:TAUSEEF
Middle Name:AFAQ
Last Name:SIDDIQI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:TAUSEEF
Other - Middle Name:
Other - Last Name:AFAQ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4973 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-2106
Mailing Address - Country:US
Mailing Address - Phone:206-650-5429
Mailing Address - Fax:
Practice Address - Street 1:4647 ZION AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2507
Practice Address - Country:US
Practice Address - Phone:877-236-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ44575207R00000X, 207RS0012X, 208M00000X
CAA73523207R00000X, 207RC0200X, 207RS0012X, 207RP1001X
WAMD00041067207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAH39007Medicare UPIN
CAH39007Medicare UPIN
AZH39007Medicare UPIN