Provider Demographics
NPI:1396364345
Name:SIDDIQUI, YUMNA (DPM)
Entity type:Individual
Prefix:DR
First Name:YUMNA
Middle Name:
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9919 SAND DOLLAR DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3914
Mailing Address - Country:US
Mailing Address - Phone:832-286-7638
Mailing Address - Fax:
Practice Address - Street 1:7609 TIKI DR STE D
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1678
Practice Address - Country:US
Practice Address - Phone:281-391-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692109213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery