Provider Demographics
NPI:1861431108
Name:SIDDIQUI, MOHAMMAD H (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:H
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:307
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-558-5570
Mailing Address - Fax:281-558-5081
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:307
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-558-5570
Practice Address - Fax:281-558-5081
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ4670208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics