Siddiqi, Shad

Siddiqi, Shad is an individual health care provider with primary practice located at 22250 Providence Dr Ste 401 , Southfield MI 48075-6212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Siddiqi, Shad can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
22250 Providence Dr Ste 401 Southfield MI 48075-6212
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5101024603 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 5101024603 Michigan

Profile Details

NPI number 1154733285
LBN Legal business name Siddiqi, Shad
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2014
Last updated Aug 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers