Individual
ASHFAQ H SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
309 REGENCY PKWY, SUITE 207, MANSFIELD, TX 76063-5165
(817) 225-2716
(817) 225-2719
Mailing address
309 REGENCY PKWY, SUITE 207, MANSFIELD, TX 76063-5165
(817) 225-2716
(817) 225-2719
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
L5562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057PA
BCBS
TX
01
—
1488594
AETNA
TX
05
—
1919615
—
TX
01
—
P00439527
RR MEDICARE
TX
Enumeration date
06/15/2005
Last updated
05/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us