Individual
SIDDIQA TAHIRA RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16998 MIDDLEBELT RD UNIT 5098, LIVONIA, MI 48154-3368
(248) 631-7758
Mailing address
16998 MIDDLEBELT RD UNIT 5098, LIVONIA, MI 48154-3368
(248) 631-7758
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704384839
MI
Other
Enumeration date
07/04/2019
Last updated
02/24/2026
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