Siddiqui, Sartaj Kadiwala

Siddiqui, Sartaj Kadiwala is an sole proprietor health care provider with primary practice located at 101 Medical Dr , Victoria TX 77904-3102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Siddiqui, Sartaj Kadiwala can be contacted via phone (856) 782-2212.

Contact Information

Primary practice address
101 Medical Dr Victoria TX 77904-3102
Phone: (856) 782-2212
Fax: (856) 782-2266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS11312 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X P7475 Texas

Profile Details

NPI number 1942468541
LBN Legal business name Siddiqui, Sartaj Kadiwala
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2008
Last updated Oct 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942468541 NPPES
Florida MEDICAID 003652900
Florida Other 14E5Q
Florida MEDICAID 003110020A
Florida MEDICAID 3664609

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