Khurrum Siddique
M.D. | Pediatric Nephrology | Male
Khurrum Siddique, M.D. is a San Antonio, Texas based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Khurrum Siddique is
333 N Santa Rosa, San Antonio, Texas - 78207-3108. He can be contacted on phone at
713-798-1750 and fax number 711-798-4693.
Khurrum Siddique is a sole proprietor of his business.
NPI number (Unique professional ID) for Khurrum Siddique is
1154640324 which was assigned by NPPES on 26 May, 2010 and it was last updated on 19 May, 2023.
Khurrum Siddique license number is
036.163809 for Pediatrics, Pediatric Nephrology (2080P0210X) in Illinois.
Khurrum Siddique deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Khurrum Siddique basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Nephrology |
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| Provider Name : | Khurrum Siddique |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Khurrum Siddique address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 333 N Santa Rosa
San Antonio, TX, 78207-3108
United States |
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| Phone Number : | 713-798-1750 |
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| Fax Number : | 711-798-4693 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154640324 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 May, 2010 |
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| Last Updated On : | 19 May, 2023 |
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Medicare Participation:
Khurrum Siddique participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4486954013 |
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| Medicare Enrollment ID : | I20151203000486 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2004 |
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| Accepts Medicare? | Yes. Khurrum Siddique accepts medicare insurance. |
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Group Practice Association:
Khurrum Siddique is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Khurrum Siddique is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Mcallen Hospitalist Group Pllc | 9830113836 | 96 | 2110 W Trenton Rd
Suite B
Edinburg, TX - 785394683
Ph: 9563833281 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Khurrum Siddique are as mentioned. Primary taxonomy code for Khurrum Siddique, M.D. is
2080P0210X (Pediatrics, Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0210X | Pediatrics, Pediatric Nephrology | Yes | 036.163809 | IL |
| 2080P0210X | Pediatrics, Pediatric Nephrology | No | P6084 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Khurrum Siddique such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 321120302 | MEDICAID | TX | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2821 MICHAELANGELO DR STE 101,
EDINBURG, TX, 78539-1411
United States | EDINBURG, TX | 956-362-8200 |
9555 S 52ND AVE,
OAK LAWN, IL, 60453-3054
United States | OAK LAWN, IL | 708-684-5437 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | ksiddique370527@direct.myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 9555 S 52nd Ave,
Oak Lawn, IL, 60453-3054
United States |
FHIR
(FHIR URL) | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 9555 S 52nd Ave,
Oak Lawn, IL, 60453-3054
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 333 N Santa Rosa
San Antonio, TX, 78207-3108
United States |
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| Phone Number : | 713-798-1750 |
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| Fax Number : | 711-798-4693 |
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Business Location:
Patients can refer following map for directions to
Khurrum Siddique practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.