Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101252496 | VA |
Y | 2080P0210X | Pediatric Nephrologist | R1453 | TX |
NPI | 1699005199 |
---|---|
Provider Name | Sahar Siddiqui |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2010 |
Last Update Date | 25/01/2017 |