Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | M2104 | TX |
NPI | 1023077161 |
---|---|
Provider Name | Dr. Rashid M Siddiqi |
First Address | Baytown, TX 77521-2282 |
Second Address | Baytown, TX 77521-2282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2006 |
Last Update Date | 17/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G84269 | (02) |