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NPI Code Detail

MEDICARE: DR. FAISAL RAB SIDDIQUI M.D.

MEDICARE: DR. FAISAL RAB SIDDIQUI M.D.
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
1207Q00000XFamily Medicine PhysicianML60375701WA
2207Q00000XFamily Medicine PhysicianT5668TX
3207Q00000XFamily Medicine PhysicianMD60577168WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407293202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FAISAL RAB SIDDIQUI M.D.
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-4997
Fax Number :
Provider Business Practice Location Address
First Line : 4003 CREEKSIDE LOOP
Second Line :
City : YAKIMA
State : WA
Zip : 98908-3962
Country : US
Telephone Number : 509-248-3263
Fax Number : 509-225-2702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2013
Last Update Date : 03/09/2022

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