Individual
SAMINA IBAD SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 W RIVERSIDE DR, AUSTIN, TX 78704-1247
(512) 804-3000
(512) 323-9051
Mailing address
PO BOX 3548, AUSTIN, TX 78764-3548
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M4187
TX
Other
Enumeration date
09/22/2006
Last updated
09/11/2008
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