Organization
ACCURATE DIAGNOSTIC MGT SVCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM A SIDDIQUL (CEO/PRESIDENT)
(214) 972-8151
Entity
Organization
Contact information
Practice address
2781 ITHACA PLACE, LEWISVILLE, TX 75067
(702) 530-7492
(877) 705-3046
Mailing address
PO BOX 297, COPPELL, TX 75019
(702) 530-7492
(877) 705-3046
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME94218
FL
2084N0600X
Clinical Neurophysiology Physician
Primary
ME94218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30990Z
MEDICARE ID-TYPE UNSPECIFIED. FL
FL
Enumeration date
11/27/2012
Last updated
11/15/2024
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