Sartaj Kadiwala Siddiqui, DO | |
101 Medical Dr, Victoria, TX 77904-3102 | |
(856) 782-2212 | |
(856) 782-2266 |
Full Name | Sartaj Kadiwala Siddiqui |
---|---|
Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 101 Medical Dr, Victoria, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942468541 | NPI | - | NPPES |
003652900 | Medicaid | FL | |
14E5Q | Other | FL | BCBSFL |
003110020A | Medicaid | GA | |
3664609 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS11312 (Florida) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | P7475 (Texas) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Entity Name | Texas Childrens Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Entity Name | Acclaim Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
---|---|
Sartaj Kadiwala Siddiqui, DO 1000 Haddonfield Berlin Rd Ste 210, Voorhees, NJ 08043-3520 Ph: (856) 782-2212 | Sartaj Kadiwala Siddiqui, DO 101 Medical Dr, Victoria, TX 77904-3102 Ph: (856) 782-2212 |
Felix F Regueira, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4304 Retama Cir, Victoria, TX 77901 Phone: 361-576-2134 Fax: 361-578-0221 | |
Dr. Ignacio Montemayor Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plz, Suite 207, Victoria, TX 77901 Phone: 361-579-1302 Fax: 361-579-1303 | |
Dr. Adelaida Resendez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Medical Dr, Ste. 103, Victoria, TX 77904 Phone: 361-572-0033 Fax: 361-572-9403 | |
Dr. Stephen Max Dentler, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9410 Ne Zac Lentz Pkwy,, Suite 202, Victoria, TX 77904 Phone: 361-579-1333 Fax: 361-579-1334 | |
Dr. William L. Hilbert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Medical Dr, Ste. 103, Victoria, TX 77904 Phone: 361-572-0033 Fax: 361-572-9403 | |
Dr. Suresh N Pathikonda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 E Airline Rd, Victoria, TX 77901 Phone: 361-575-8500 Fax: 361-575-8416 | |
Dr. Maya S Pathikonda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 E Airline Rd, Victoria, TX 77901 Phone: 361-575-8500 Fax: 361-575-8416 |