Provider Demographics
NPI:1023329190
Name:SIDIQUEE, MOHAMMAD NAMEER
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:NAMEER
Last Name:SIDIQUEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4023 TIM ALLEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1874
Mailing Address - Country:US
Mailing Address - Phone:917-658-5376
Mailing Address - Fax:
Practice Address - Street 1:7105 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2210
Practice Address - Country:US
Practice Address - Phone:281-737-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0563207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ0563OtherTEXAS MEDICAL BOARD