Organization
MICHIGAN COMPREHENSIVE CARDIOVASCULAR CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKARRAM SIDDIQUI M.D. (OWNER)
(248) 945-1220
Entity
Organization
Contact information
Practice address
27209 LAHSER RD, SUITE 226, SOUTHFIELD, MI 48034-8403
(248) 945-1220
(248) 945-1222
Mailing address
27209 LAHSER RD, SUITE 226, SOUTHFIELD, MI 48034-8403
(248) 945-1220
(248) 945-1222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301062045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301062045
LICENSE
MI
Enumeration date
04/15/2015
Last updated
04/15/2015
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