OrganizationActive
MD Neurodiagnostic Mgt Svcs Inc
NPI 1114478849 · Neurology Physician · Lewisville, TX
Provider details
- NPI number
- 1114478849
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adam Siddiqui, Ceo/President(214) 972-8151
- License
- ME94218 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2781 Ithaca Place
Lewisville, TX 75067
Phone: (702) 530-7492
Fax: (877) 705-3046
Street-level locationGet directions
Mailing address
Po Box 297
Coppell, TX 75019
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2024-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.