Siadati Surgical Consulting LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SIADATI SURGICAL CONSULTING LLC

Practice address

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766

Phone

(817) 267-2678

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Mohammad R Siaditi, MD

Title

Owner/Physician

Phone

(972) 890-3459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1164024170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HALL JOHNSON RD STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 HALL JOHNSON RD STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518766",
            "telephone_number": "817-267-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIADATI SURGICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "SIADITI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "972-890-3459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahrooz Shirani
• Seyedeh Abedeh Shirazian, PHARMD
• Chansi Lynn Shope, LPC
• Jacob Shores, D.C.
• Vanita D Shori, MD
• Mohammad Reza Siadati, MD
• Joyce Linda Sichel, PH D
• Kathy Lee Siepker, PHD, MSW, LCSW, CDP
• Naira Simonyan, DMD
• D'Anna Sims

• Surgery Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.