Individual
DENA ABUELROOS-SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301114655
MI
2085B0100X
Body Imaging Physician
3013697
MA
2085R0202X
Diagnostic Radiology Physician
4301114655
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301511631
MI
Other
Enumeration date
06/19/2018
Last updated
06/17/2024
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