Basic Information
| Provider Information | |||||||||
| NPI: | 1497814537 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RASHID M SIDDIQI MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4201 GARTH RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | BAYTOWN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775213155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814284024 | ||||||||
| FaxNumber: | 2814284046 | ||||||||
| Practice Location | |||||||||
| Address1: | 4201 GARTH RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | BAYTOWN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775213155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814284024 | ||||||||
| FaxNumber: | 2814284046 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2006 | ||||||||
| LastUpdateDate: | 11/07/2007 | ||||||||
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| AuthorizedOfficialLastName: | SIDDIQI | ||||||||
| AuthorizedOfficialFirstName: | RASHID | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2814284024 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.