Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MD Neurodiagnostic Mgt Svcs Inc

Organization Neurology Physician · NPI 1114478849

MD Neurodiagnostic Mgt Svcs Inc is a Neurology Physician in Lewisville, Texas. Licensed in California and Florida. Registered with an NPI since 2016.

Licensed in
CA, FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2781 Ithaca Pl
Lewisville, TX 75067
Phone: (702) 530-7492
Fax: (877) 705-3046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence CA129953 (CA)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence ME94218 (FL)

Record details

NPI number1114478849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Siddiqui — Ceo/President · (214) 972-8151
NPI enumeratedOctober 18, 2016
Last updated in NPPESNovember 15, 2024
Mailing addressPo Box 297, Coppell, TX 75019

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