MEDICARE: HUMZA FEROZ SIDDIQI 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	207Q00000X	Family Medicine Physician	E-8381	AR
2	207Q00000X	Family Medicine Physician	R7239	TX
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician	E-8381	AR
4	207QG0300X	Geriatric Medicine (Family Medicine) Physician	R7239	TX

General Provider Information

NPI Number	:	1215284187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUMZA FEROZ SIDDIQI MD

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7201
Country	:	US
Telephone Number	:	501-442-4201
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 W CAMP WISDOM RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2515
Country	:	US
Telephone Number	:	214-645-3900
Fax Number	:

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

Provider Enumeration Date	:	08/10/2012
Last Update Date	:	03/05/2026

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Directions to “ HUMZA FEROZ SIDDIQI MD” Practice Location

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