Organization
JAMES SIRAJUDDIN MD PC
Active
Other names
Riverside Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SIRAJUDDIN M.D. (PRESIDENT)
(269) 637-2102
Entity
Organization
Contact information
Practice address
203 CENTER ST, SOUTH HAVEN, MI 49090-1311
(269) 637-2102
(269) 637-3783
Mailing address
203 CENTER ST, SOUTH HAVEN, MI 49090-1311
(269) 637-2102
(269) 637-3783
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301039518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111690
—
MI
Enumeration date
10/18/2007
Last updated
04/01/2008
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