Provider Demographics
NPI:1497814537
Name:RASHID M SIDDIQI MD PA
Entity Type:Organization
Organization Name:RASHID M SIDDIQI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-428-4024
Mailing Address - Street 1:4201 GARTH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3155
Mailing Address - Country:US
Mailing Address - Phone:281-428-4024
Mailing Address - Fax:281-428-4046
Practice Address - Street 1:4201 GARTH RD STE 201
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3155
Practice Address - Country:US
Practice Address - Phone:281-428-4024
Practice Address - Fax:281-428-4046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00X149Medicare PIN