MEDICARE: TARIQ SIBGHAT 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
1	207R00000X	Internal Medicine Physician	N7349	TX
2	207RC0000X	Cardiovascular Disease Physician	MD-24188	HI
3	207RC0000X	Cardiovascular Disease Physician	N7349	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	2W1357	OTHER	TX	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1487879300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARIQ SIBGHAT SIDDIQUI M.D.

Provider Business Mailing Address
First Line	:	415 S MESA HILLS DR APT 1116
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5477
Country	:	US
Telephone Number	:	502-533-3854
Fax Number	:	502-533-3854

Provider Business Practice Location Address
First Line	:	1575 N RESLER DR STE D
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-8002
Country	:	US
Telephone Number	:	915-271-4652
Fax Number	:

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/29/2025

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