Individual
ADILA NIGHAT SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2771 SHERMAN DR #A, GRAND PRAIRIE, TX 75051-1027
(972) 647-0550
(972) 647-1010
Mailing address
2771 SHERMAN DR #A, GRAND PRAIRIE, TX 75051-1027
(972) 647-0550
(972) 647-1010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076EC
BCBS PCP PROVIDER#
TX
05
—
121398502
—
TX
Enumeration date
11/11/2005
Last updated
01/17/2014
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