| Shazia Siddiqi Pllc | |
|
36 E 14 Mile Rd Clawson MI 48017-2133 | |
| (248) 397-4649 | |
| Not Available |
| Full Name | Shazia Siddiqi Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 36 E 14 Mile Rd, Clawson, Michigan |
| Authorized Official Name and Position | Shazia Siddiqi (OWNER) |
| Authorized Official Contact | 2483974649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shazia Siddiqi Pllc 951 Longfellow Dr Troy MI 48085-7900 Ph: (248) 210-5118 | Shazia Siddiqi Pllc 36 E 14 Mile Rd Clawson MI 48017-2133 Ph: (248) 397-4649 |
| NPI Number | 1124647425 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124647425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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