Elle Diagnostic PA

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

L1737 Issued in TX

Legal business name

ELLE DIAGNOSTIC PA

Practice address

33300 Egypt LN Ste F200
Magnolia, TX 77354-2741

Phone

(281) 292-1121

Fax

(832) 553-3211

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Saqib A Siddiqui, M.D.

Title

President

Phone

(281) 292-1121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1639368160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE F200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542741",
            "telephone_number": "281-292-1121",
            "fax_number": "832-553-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE F200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542741",
            "telephone_number": "281-292-1121",
            "fax_number": "832-553-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLE DIAGNOSTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAQIB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-292-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "L1737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neurophysiology Physician in Magnolia, TX
• Providers in Magnolia, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.