Provider Demographics
NPI:1881375459
Name:BAYTOWN INTERNAL MEDICINE ASSOCIATES PLLC
Entity type:Organization
Organization Name:BAYTOWN INTERNAL MEDICINE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-493-0814
Mailing Address - Street 1:4308 ALLENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3200
Mailing Address - Country:US
Mailing Address - Phone:281-422-4141
Mailing Address - Fax:281-422-5939
Practice Address - Street 1:1144 RYMERS SWITCH LN
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-1418
Practice Address - Country:US
Practice Address - Phone:254-493-0814
Practice Address - Fax:713-583-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty