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ALBERT K.Q. SIU M.D.

Physicians Pathology Anatomic Pathology & Clinical Pathology

Provider NPI: 1710955364

Provider Information:
 ALBERT K.Q. SIU M.D.
Gender: M
Not Sole Proprietor

Practice Location:
2625 COFFEE RD STE S MODESTO, CA 95355-2050 US
Tel: 209-577-1200  Fax: 209-577-6517

Business Mailing Address:
2625 COFFEE RD STE S MODESTO, CA 95355-2050 US
Tel: 209-577-1200  Fax: 209-577-6517

NPI Information:
NPI: 1710955364
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZP0102XPhysicians
Pathology
Anatomic Pathology & Clinical Pathology
CAC42209
N207ZC0500XPhysicians
Pathology
CAC42209
N207ZD0900XPhysicians
Pathology
CAC42209
N207ZH0000XPhysicians
Pathology
CAC42209
N207ZI0100XPhysicians
Pathology
CAC42209
N207ZP0105XPhysicians
Pathology
CAC42209
N207ZP0213XPhysicians
Pathology
CAC42209
N207ZB0001XPhysicians
Pathology
CAC42209
N207ZP0104XPhysicians
Pathology
CAC42209
N207ZM0300XPhysicians
Pathology
CAC42209
N207ZN0500XPhysicians
Pathology
CAC42209

Other Provider Identifiers:

IssuerNumberStateType
LAB09388FCA05
MEDICARE PTANBO964CA01
RAILROAD MEDICARE NO220020692CA01



American Medical Association 2012 taxonomy code information

Code: 207ZP0102X

Type:

Classification:



Definition:



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