Most Relevant Information
Provider Data
| NPI Number: | 1003342072 |
| Provider Name: | FARYAL ASAD SIDDIQUI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | MDR### |
Most Important Dates
| Enumeration Date: | 05/11/2017 |
| Last Updated: | 05/24/2021 |
Provider Practice Location
7720 FAY AVE
LA JOLLA
CA
920374309
Practice Location Phone/Fax
| Phone: | 8584542700 |
| Fax: |
Provider Mailing Location
7720 FAY AVE
LA JOLLA
CA
920374309
Provider Mailing Phone/Fax
| Phone: | 8584542700 |
| Fax: |