Provider Demographics
NPI:1316113558
Name:SIDDIQUI, UMAIR MAHMOOD (MD)
Entity type:Individual
Prefix:DR
First Name:UMAIR
Middle Name:MAHMOOD
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3838 N BRAESWOOD BLVD
Mailing Address - Street 2:APT 201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-3000
Mailing Address - Country:US
Mailing Address - Phone:979-292-0033
Mailing Address - Fax:
Practice Address - Street 1:109 PARKING WAY ST
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5228
Practice Address - Country:US
Practice Address - Phone:979-292-0033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6523207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology