| | Physician Last Name: | Siddiqui |
| | Physician First Name: | Shahid |
| | Physician Middle Name: | Masud |
| | Address: | 89-00 170th Street
Jamaica, New York 11432 |
| | License Number: | 113794 |
| | License Type: | MD |
| | Year of Birth: |
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| | Effective Date: | 03/20/1995 |
| | Action Description for DOH Webpage: | License revocation |
| | Misconduct Description for DOH Webpage: | The Review Board sustained the Hearing Committee's December 2, 1994 determination finding the physician guilty of gross negligence; negligence on more than one occasion; incompetence on more than one occasion and failure to maintain adequate records.The New York State Board of Regents on March 26, 2003 denied the physician's petition for the restoration of his New York State medical license. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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