Individual
DR. ATHAR SIDDIQUI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
428 S GROVE ST, YPSILANTI, MI 48198-5662
(734) 483-7136
(734) 483-3422
Mailing address
428 S GROVE ST, YPSILANTI, MI 48198-5662
(734) 483-7136
(734) 483-3422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301034780
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008913
MIDWEST
MI
01
—
0643416
UMWA
MI
05
—
1001085325
—
MI
01
—
103452
CARECHOICES
MI
01
—
1108172912
BCBS OF MI
MI
01
—
C1687
MCARE
MI
01
—
M008530
CHAMP
MI
Enumeration date
12/29/2005
Last updated
07/08/2007
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