Individual
DR. JABEEN SIDDIQUI-HAMZAVI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
428 S GROVE ST, YPSILANTI, MI 48198-5662
(734) 483-7136
(734) 483-3422
Mailing address
428 S GROVE ST, YPSILANTI, MI 48198-5662
(734) 483-7136
(734) 483-3422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301068660
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004173726
—
MI
01
—
1108128442
BCBS OF MI
MI
01
—
126845
CARECHOICES
MI
01
—
C7971
MCARE
MI
01
—
G99216
HAP
MI
Enumeration date
12/28/2005
Last updated
07/08/2007
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