Gastrointestinal and Liver Disorders Specialists PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301060352 Issued in MI

Legal business name

GASTROINTESTINAL AND LIVER DISORDERS SPECIALISTS PLLC

Practice address

27200 Lahser Rd
Suite 100
Southfield, MI 48034-2137

Phone

(248) 208-9257

Fax

(248) 208-9217

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Firdous Anjum Siddiqui, M.D.NPI 1538107651

Title

President

Phone

(248) 208-9257

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.

• Firdous Anjum Siddiqui, MD

  • Gastroenterology Physician
  • Southfield, MI
  • NPI 1538107651
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1881996197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27200 LAHSER RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342137",
            "telephone_number": "248-208-9257",
            "fax_number": "248-208-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 LAHSER RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342137",
            "telephone_number": "248-208-9257",
            "fax_number": "248-208-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL AND LIVER DISORDERS SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "FIRDOUS",
        "authorized_official_middle_name": "ANJUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-208-9257",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301060352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakayla Garth
• Gary D Bergman MD PC
• Gary J Warr DDS
• David Lee Gaston Jr., M.D.
• Tameka Gaston
• Macie Gater, REGISTERED NURSE
• Laina Tenice Gates
• Timothy O Gates, FNP-BC
• Christy Ann Gatto
• Suzanne Marie Gauvreau, LMT

• Gastroenterology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.