Khurrum Siddique
Pediatric Nephrologist
2821 Michaelangelo Dr Ste 101
Edinburg
, Texas 78539-1411
Khurrum Siddique
Pediatric Nephrologist
2821 Michaelangelo Dr Ste 101
Edinburg
, Texas 78539-1411
(956) 362-8204
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Khurrum Siddique
- Po Box 749
- Pharr, TX
- Zip : 78577-1614
- Fax : (956) 362-8204
- Phone : (956) 362-8200
Second Address
- Khurrum Siddique
- 2821 Michaelangelo Dr Ste 101
- Edinburg, TX
- Zip : 78539-1411
- Fax : (956) 362-8204
- Phone : (956) 362-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | P6084 | TX |
National Provider Identifier
| NPI | 1154640324 |
|---|---|
| Provider Name | Khurrum Siddique |
| First Address | Pharr, TX 78577-1614 |
| Second Address | Edinburg, TX 78539-1411 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2010 |
| Last Update Date | 03/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 321120302 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.