Saadia Siddiqui MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301075014 Issued in MI

Legal business name

SAADIA SIDDIQUI MD PC

Practice address

18161 E 8 Mile Rd
Eastpointe, MI 48021-3219

Phone

(586) 772-7200

Fax

(586) 772-7207

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Saadia Siddiqui, M.D.NPI 1164409496

Title

Physician

Phone

(586) 772-7200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saadia Vaqar Siddiqui, M.D.

  • Internal Medicine Physician
  • Eastpointe, MI
  • NPI 1164409496
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1356739395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 E 8 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213219",
            "telephone_number": "586-772-7200",
            "fax_number": "586-772-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 E 8 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213219",
            "telephone_number": "586-772-7200",
            "fax_number": "586-772-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAADIA SIDDIQUI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAADIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-772-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.