Mohammad Reza Siadati, MD

Surgery Physician · Grapevine, TX

Individual Active NPI

NPI number 1194718452

Practice location

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone
(817) 267-2678
Fax
(817) 251-0039

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NPI record

NPI
1194718452
Entity type
Individual (Type 1)
Enumeration date
August 23, 2005
Last updated
August 15, 2022
Certified
August 15, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X M9006 TX

About Dr. Siadati

Mohammad Reza Siadati, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766. The NPI number 1194718452 was assigned on August 23, 2005 and the record was last updated on August 15, 2022.

Dr. Siadati lists a license in the registry: #M9006 (TX) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mohammad Reza Siadati, MD?

The NPI number is 1194718452.

What is the phone number of Dr. Siadati?

The phone number listed for the practice location is (817) 267-2678.

Where is Dr. Siadati located?

2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766.

What is the taxonomy code for Dr. Siadati?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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