Active NPI
Fazila Siddiqi MD . PA
- Psychiatry Physician
- McKinney, TX
National Provider Identifier
1255601852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- K3467
- Legal business name
- FAZILA SIDDIQI MD . PA
- Practice address
- 2300 W. White Ave.
Suite # 101
McKinney, TX 75071 - Phone
- (214) 491-1618
- Fax
- (214) 491-6155
- NPI assigned
- Jan 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Fazila Siddiqi, MD
- Title
- President
- Phone
- (214) 491-1618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K3467 | TX | Primary |
Addresses
Primary practice location
2300 W. White Ave.
Suite # 101
McKinney, TX 75071
Mailing address
2300 W. White Ave.
Suite # 101
McKinney, TX 75071
Phone (214) 491-1618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0304347-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5939 Harry Hines Blvd
Ste 815
Dallas, TX 75235
Phone (214) 879-6500
2300 W White Ave
Ste 101
McKinney, TX 75071
Phone (214) 491-1618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463011200000",
"number": "1255601852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W. WHITE AVE.",
"address_2": "SUITE # 101",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75071",
"telephone_number": "214-491-1618",
"fax_number": "214-491-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W. WHITE AVE.",
"address_2": "SUITE # 101",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75071",
"telephone_number": "214-491-1618",
"fax_number": "214-491-6155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAZILA SIDDIQI MD . PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-12",
"last_updated": "2016-05-12",
"status": "A",
"authorized_official_last_name": "SIDDIQI",
"authorized_official_first_name": "FAZILA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-491-1618",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K3467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0304347-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.