Siddiqui, Ashfaq H
Siddiqui, Ashfaq H is an sole proprietor health care provider with primary practice located at 309 Regency Pkwy Suite 207, Mansfield TX 76063-5165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Siddiqui, Ashfaq H can be contacted via phone (817) 225-2716.Contact Information
Primary practice address
309 Regency Pkwy Suite 207
Mansfield TX 76063-5165
Phone: (817) 225-2716
Fax: (817) 225-2719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | L5562 | Texas |
Profile Details
| NPI number | 1417952623 |
|---|---|
| LBN Legal business name | Siddiqui, Ashfaq H |
| Credentials | MD FACS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | May 3rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417952623 | NPPES |
| Texas | Other | 1488594 | AETNA |
| Texas | Other | P00439527 | AETNA |
| Texas | Other | 0057PA | AETNA |
| Texas | Other | P00439527 | AETNA |
| Texas | MEDICAID | 1919615 | AETNA |
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