Kiran Fatima Siddiqui, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

33882 Issued in AZ

Practice address

5055 E Broadway Blvd
C 104
Tucson, AZ 85711-3640

Phone

(520) 623-9833

Fax

(520) 745-3870

NPI assigned

Aug 17, 2006

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Braindocs

  • Child & Adolescent Psychiatry Physician
  • Flower Mound, TX
  • NPI 1790130771
  Authorized official Same address or phone
• Adebogun M.D., P. a.

  • Child & Adolescent Psychiatry Physician
  • Flower Mound, TX
  • NPI 1306273560
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1558474817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 LONG PRAIRIE ROAD",
            "address_2": "#100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "817-240-0012",
            "fax_number": "972-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD",
            "address_2": "C 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113640",
            "telephone_number": "520-623-9833",
            "fax_number": "520-745-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "KIRAN",
        "middle_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "33882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Sickles, FNP
• David Siddall, LCSW
• Yumna Siddique
• Iftequar Ahmed Siddiqui, MD, PHARM.D
• Khaja Siddiqui, MD
• Syyeda Afreen Siddiqui, M.D.
• Heather R Siddons, APRN
• Helen De Los Angeles Siddons
• Lila C Sideras, MA, LPC
• Kallie Marie Siderewicz, RDN

• Child & Adolescent Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.