DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FAZEEL MUKHTAR SIDDIQUI, M.D.

Active

DR. FAZEEL MUKHTAR SIDDIQUI, M.D. is a Psychoanalysis healthcare provider located in WYOMING, Michigan. NPI 1154513687 is currently active in the NPPES registry. Verify at CMS.

Psychoanalysis · WYOMING, MI

Registration Details

NPI Number
1154513687
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2007 (18.967240903009 yrs)
Last Updated
Mar 13, 2025
Licenses
036-132058 (IL)
036-132058 (IL)
4301116960 (MI)

Practice Information

Address
5900 BYRON CENTER AVE SW
WYOMING, MI, 495199606
Browse MI providers · Browse ZIP 49519
Phone
6162527200
Primary Specialty
Psychoanalysis
2084V0102X
Additional Specialty
Psychoanalysis
Additional Specialty
Psychoanalysis
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.