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 provides Neurology Physician services 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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