Provider Demographics
NPI:1831645183
Name:SIDDIQI, NIKHAT (MD)
Entity Type:Individual
Prefix:
First Name:NIKHAT
Middle Name:
Last Name:SIDDIQI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 12267
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-2267
Mailing Address - Country:US
Mailing Address - Phone:281-469-0339
Mailing Address - Fax:281-469-0369
Practice Address - Street 1:13323 DOTSON ROAD, SUITE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070
Practice Address - Country:US
Practice Address - Phone:281-469-0339
Practice Address - Fax:281-469-0369
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5480207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine