Individual
MS. FAZILA MAHMOOD SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-4311
(248) 465-4651
Mailing address
22201 MOROSS RD BLDG SUITE380, DETROIT, MI 48236-2169
(877) 784-3667
(313) 343-4567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704278023
MI
Other
Enumeration date
10/22/2019
Last updated
02/10/2025
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