Siddique Medical Associates PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

L2650 Issued in TX

Legal business name

SIDDIQUE MEDICAL ASSOCIATES PA

Practice address

1611 Bryce Canyon LN
Allen, TX 75002-2696

Phone

(214) 566-7714

NPI assigned

Oct 5, 2016

Last updated

Dec 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reziuddin Siddique, MD

Title

Owner

Phone

(214) 566-7714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1679023410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 BRYCE CANYON LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022696",
            "telephone_number": "214-566-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 BRYCE CANYON LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022696",
            "telephone_number": "214-566-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDIQUE MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "REZIUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-566-7714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherryl Denise Shipes, D.O.
• Alysse Shropshire, LPC
• Roopam Shyam, M.D.
• Sara Sibley
• Nadia H Siddiqi, DO
• Zeba Siddiqui
• Rhea Nicole Siemsen, LPC-A, LCDC
• Alexis Danyel Sifuentes, APRN, CNM
• Ann Signey
• Silicon Design Studio LLC

• Geriatric Medicine (Internal Medicine) Physician in Allen, TX
• Providers in Allen, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.