Samina Ibad Siddiqui, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

M4187 Issued in TX

Practice address

105 W Riverside Dr
Austin, TX 78704-1247

Phone

(512) 804-3000

Fax

(512) 323-9051

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samina Ibad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1588764310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787643548",
            "telephone_number": "512-445-7787",
            "fax_number": "512-440-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W RIVERSIDE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041247",
            "telephone_number": "512-804-3000",
            "fax_number": "512-323-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SAMINA",
        "middle_name": "IBAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "M4187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMINA",
            "last_name": "IBAD",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shangir Hossain Siddique, MD
• Naomi Siddiquee
• Ahmed Ibrahim Siddiqui, MD
• Anees Ahmed Siddiqui, M.D.
• Asif Mohammed Siddiqui, MD
• Sara K Siddiqui, M.D.
• Shan Siddiqui, OT
• Side by Side Counseling
• Elizabeth Anne Sidener, LMSW
• Taylor Larie Sidney, RD

• Child & Adolescent Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.