Provider Demographics
NPI:1093424558
Name:SEDDIQI, MAHDIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MAHDIA
Middle Name:
Last Name:SEDDIQI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 WOODLAND PARK DR APT 705
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6605
Mailing Address - Country:US
Mailing Address - Phone:314-369-3236
Mailing Address - Fax:
Practice Address - Street 1:15411 WALLISVILLE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-4613
Practice Address - Country:US
Practice Address - Phone:281-459-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist