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

SHAD SIDDIQI, DO

Active

SHAD SIDDIQI, DO is a Interventional Vascular Surgery healthcare provider located in SOUTHFIELD, Michigan. NPI 1154733285 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · SOUTHFIELD, MI

Registration Details

NPI Number
1154733285
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2014 (12.239462751922 yrs)
Last Updated
Aug 1, 2019
Licenses
5101024603 (MI)
5101024603 (MI)

Practice Information

Address
22250 PROVIDENCE DR STE 401
SOUTHFIELD, MI, 480756212
Browse MI providers · Browse ZIP 48075
Phone
8669742673
Fax
8669392673
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in SOUTHFIELD, MI

Name Credential NPI
DR. JOEL R SCHECHET MD 1154307437
DR. NAZIH S ISKANDER MD 1568435683
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.