MEDICARE: MEHDI SIDDIQUI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2085R0204X	Vascular & Interventional Radiology Physician	T8352	TX

General Provider Information

NPI Number	:	1053949743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEHDI SIDDIQUI MD

Provider Business Mailing Address
First Line	:	1320 S UNIVERSITY DR STE 500
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5732
Country	:	US
Telephone Number	:	817-321-0404
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 PENNSYLVANIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2224
Country	:	US
Telephone Number	:	817-321-0404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	06/17/2026

Similar Medicare Providers

1669476990 — DR. EVA J BAILEY M.D.
Practice Location Address:

823 PENNSYLVANIA AVE
FORT WORTH, TX
76104-2224

Practice Phone: 817-332-3664
Practice Fax: 817-882-9888

1629071733 — DR. ASHLEY M CLASSEN D.O.
Practice Location Address:

823 PENNSYLVANIA AVE
FORT WORTH, TX
76104-2224

Practice Phone: 817-332-3664
Practice Fax: 817-882-9888

1184627994 — DR. DAVID A FENYES M.D.,PH.D.
Practice Location Address:

815 PENNSYLVANIA AVE
FORT WORTH, TX
76104-2224

Practice Phone: 817-321-0312
Practice Fax: 817-317-7033

1790788115 — MITCHELL YOUNT MD
Practice Location Address:

815 PENNSYLVANIA AVE
FORT WORTH, TX
76104-2224

Practice Phone: 817-321-0387
Practice Fax:

1518963313 — EVERETT L. GAYLE M.D.
Practice Location Address:

815 PENNSYLVANIA AVE
FORT WORTH, TX
76104-2224

Practice Phone: 817-321-0404
Practice Fax:

1295733822 — CHARLES B. GOVER-MENDEZ M.D.
Practice Location Address:

815 PENNSYLVANIA AVE
FORT WORTH, TX
76104-2224

Practice Phone: 817-321-0404
Practice Fax:

Directions to “ MEHDI SIDDIQUI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.