Provider Demographics
NPI:1639136344
Name:CONLEY, NATASHA SIDDIQUI (DO)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:SIDDIQUI
Last Name:CONLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:SIDDIQUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:13405 MARCASEL PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-1207
Mailing Address - Country:US
Mailing Address - Phone:773-960-0302
Mailing Address - Fax:
Practice Address - Street 1:3033 BUNKER HILL DRIVE
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109
Practice Address - Country:US
Practice Address - Phone:773-960-0302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036114650207RR0500X
CA20A9388207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology