SARTAJ KADIWALA SIDDIQUI D.O. NPI 1942468541

NPI Information

NPI: 1942468541
Provider Name: SARTAJ KADIWALA SIDDIQUI, D.O.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
101 MEDICAL DR
VICTORIA, TX
ZIP 77904
Phone: (856) 782-2212
Get Directions

Sartaj Kadiwala Siddiqui, D.O. is a neonatal-perinatal medicine pediatrics in Victoria, TX. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Sartaj Kadiwala Siddiqui, D.O. NPI is 1942468541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 MEDICAL DR
VICTORIA, TX
ZIP 77904-102
Phone: (856) 782-2212
Fax: (856) 782-2266

The NPI 1942468541 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		OS11312	FLORIDA	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	P7475	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003652900	MEDICAID	FLORIDA
2	14E5Q	OTHER	FLORIDA	BCBSFL
3	3664609	MEDICAID	TEXAS
4	003110020A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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