SARTAJ KADIWALA SIDDIQUI


Address: 101 Medical Dr, Victoria, TX 77904-3102
Phone: 8567822212

SARTAJ KADIWALA SIDDIQUI (NPI# 1942468541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942468541
Entity Type Individual
Full Name SARTAJ KADIWALA SIDDIQUI
Credential D.O.
Practice Address 101 Medical Dr
Victoria
TX 77904-3102
Mailing Address 1000 Haddonfield Berlin Rd Ste 210
Voorhees
NJ 08043-3520
Practice Telephone 8567822212
Practice Fax Number 8567822266
Mailing Telephone 8567822212
Mailing Fax Number 8567822266
Enumeration Date 2008-05-30
Last Update Date 2018-04-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics OS11312 FL Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
P7475 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBSFL 14E5Q 01
GA 003110020A 05
FL 003652900 05
TX 3664609 05

Office Location

Street Address 101 MEDICAL DR
City VICTORIA
State TX
Zip Code 77904-3102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427338508 Victoria of Texas Lp Psychiatric Unit 101 Medical Dr, Victoria, TX 77904-3102 2011-08-22
1740485697 Victoria of Texas Lp Emergency Medicine 101 Medical Dr, Victoria, TX 77904-3102 2007-06-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528600384 Bertha P Mendieta Physician Assistant Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 2019-10-14
1952968901 Eliza Welder Counselor 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 2019-05-24
1154806529 Tammy Lynn Hogan Counselor 4702 N. Laurent Ste D, Victoria, TX 77904 2018-10-01
1740724939 Sarah Ritchea Counselor 6502 Nursery Dr. Suite 100, Victoria, TX 77904 2016-12-07
1992177489 World of Words Speech & Feeding Services, LLC Speech-Language Pathologist 120 Appaloosa Dr., Victoria, TX 77904 2015-10-23
1396115739 Katelin Mcvey Physician Assistant 106 Springwood Drive, Suite 100, Victoria, TX 77904 2015-09-28
1689070062 Jeremy M Thompson Dds Ms Pllc Clinic/Center 103 Professional Park Driv, Victoria, TX 77904 2014-11-12
1265864144 Pf Development 23, LLC Hospice Care, Community Based 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 2013-08-02
1053669762 Victoria Dentistry, Pllc Dentist 8809 North Navarro, Ste.100, Victoria, TX 77904 2012-08-28
1508126442 Ayo Adu, M.d., Pllc Family Medicine 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 2012-05-25
Find all providers in zip 77904

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467576041 Child Study Clinic Pediatrics 4208 Retama Cir, Victoria, TX 77901-2765 2007-03-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699233510 Allison Claire Arbilo Pediatrics 6431 Fannin St # 3.254, Houston, TX 77030-1501 2019-03-10
1619469343 Deulofeut Physician Services Pllc Pediatrics 1924 Pine St Ste 401b, Abilene, TX 79601-2452 2018-05-30
1801303979 Gulf Coast Neonatology, Pllc Pediatrics 5920 Saratoga Blvd Ste 450, Corpus Christi, TX 78414-4124 2018-01-10
1023522331 Richard Michael Rodriguez Pediatrics 2205 Concord Pl, Brownsville, TX 78520-3984 2017-11-22
1306266200 Carlos A Laos, Md, Pa Pediatrics 25 Cochran Oaks Ln, Dallas, TX 75220-7811 2014-04-18
1225451032 Sherlene Annette Dreyer Pediatrics 5000 Montrose Blvd Unit 19b, Houston, TX 77006-6564 2014-01-29
1154752418 Dolores Carruth Pediatrics 2510 Skyline Dr, Irving, TX 75038-5819 2013-12-11
1891033981 Lisa Jensen Mitchell Pediatrics Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 2013-01-23
1780940940 Harashada Luhar Pediatrics 4707 Circle Oak Cv, Austin, TX 78749-2302 2012-04-02
1689954794 Dharmendra Kumar Pediatrics Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
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Competitor

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City VICTORIA
Zip Code 77904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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