Individual
DR. MOHAMED SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9315 TELEGRAPH, REDFORD, MI 48239
(313) 450-4500
(313) 450-4514
Mailing address
6286 TIMBERWOOD, WEST BLOOMFIELD, MI 48322
(313) 661-8151
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301047009
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4301047009
MI
Other
Enumeration date
12/08/2006
Last updated
03/07/2023
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