Individual
DR. ATHAR SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
07/13/2026
Update your record
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