Organization Active NPI

Siddique Medical Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plano, TX
National Provider Identifier
1063986701
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
SIDDIQUE MEDICAL ASSOCIATES PLLC
Practice address
2609 Webster Dr
Plano, TX 75075-6666
Phone
(214) 566-7714
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Reziuddin Siddique, MD
Title
Owner
Phone
(214) 566-7714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

2609 Webster Dr
Plano, TX 75075-6666

Mailing address

1611 Bryce Canyon LN
Allen, TX 75002-2696
Phone (214) 566-7714

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1063986701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 BRYCE CANYON LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022696",
            "telephone_number": "214-566-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 WEBSTER DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756666",
            "telephone_number": "214-566-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDIQUE MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "REZIUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-566-7714",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.