Individual
KHURRUM SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P6084
TX
2080P0210X
Pediatric Nephrology Physician
Primary
036.163809
IL
2080P0210X
Pediatric Nephrology Physician
2024-01519
NC
2080P0210X
Pediatric Nephrology Physician
P6084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321120302
—
TX
Enumeration date
05/26/2010
Last updated
01/23/2026
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