Individual
DR. ATHER A SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17198 ST LUKES WAY STE 100, THE WOODLANDS, TX 77384-8013
(936) 266-4330
Mailing address
17521 ST LUKES WAY, THE WOODLANDS, TX 77384-8039
(936) 266-4330
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K9905
TX
2085R0001X
Radiation Oncology Physician
Primary
K9905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105791110
—
TX
05
—
1057911111
—
TX
01
—
TXB143927
MEDICARE PTAN
TX
01
—
TXB143937
MEDICARE PTAN
TX
01
—
TXB148263
MEDICARE PTAN
TX
Enumeration date
06/26/2006
Last updated
10/16/2023
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