DR. KHADIJA SIDDIQUI (NPI# 1831394295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831394295 |
| Entity Type | Individual |
| Full Name | DR. KHADIJA SIDDIQUI |
| Credential | D.O |
| Practice Address |
2800 E Broad St Ste 318 Mansfield TX 76063-6413 |
| Practice Telephone | 8177793178 |
| Practice Fax Number | 8177793180 |
| Mailing Telephone | 8177793178 |
| Mailing Fax Number | 8177793180 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | P9735 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
P9735 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2800 E BROAD ST STE 318 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669676136 | Sneha Patel | Internal Medicine | 2800 E Broad St Ste 318, Mansfield, TX 76063-6413 | 2007-06-11 |
| 1790934321 | Gopala Krishna Balappa Rao | Internal Medicine | 2800 E Broad St Ste 318, Mansfield, TX 76063-6413 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851570709 | Lenehan Heart Healthcare, Inc | Internal Medicine | 1221 S Trimble Rd Bldg C-3, Mansfield, OH 44907-2211 | 2007-10-29 |
| 1134187529 | Nyan Win | Internal Medicine | 480 Glessner Avenue, Mansfield, OH 44903 | 2006-05-03 |
| 1366443657 | Gregory C. Heins | Internal Medicine | 680 Park Ave W, Mansfield, OH 44906-3706 | 2005-08-09 |
| 1144697178 | Precision Cardiac and Vascular Care, Pllc | Internal Medicine | 221 Regency Pkwy, Suite 105, Mansfield, TX 76063-5379 | 2015-08-25 |
| 1306176235 | Levi Andrew Rice Jr. | Internal Medicine | 851 Highway 287 N, Mansfield, TX 76063-2664 | 2009-12-26 |
| 1588895064 | Atish Pratap Mathur | Internal Medicine | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2009-08-02 |
| 1528207024 | Steven P Havard, Md, Pa | Internal Medicine | 1759 Broad Park Cir S, Suite 201, Mansfield, TX 76063-7833 | 2009-02-07 |
| 1710143458 | Manishkumar C Patel | Internal Medicine | 221 Regency Pkwy, Suite 105, Mansfield, TX 76063-5379 | 2008-08-01 |
| 1598887341 | Jennifer A Dickerson | Internal Medicine | 335 Glessner Ave, Mansfield, OH 44903-1240 | 2007-04-04 |
| 1164586715 | Richland Cardiology | Internal Medicine | 1221 S Trimble Rd, Suite B2, Mansfield, OH 44907-2200 | 2006-12-20 |
| Find all providers in MANSFIELD | ||||
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| 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.