Organization
ACADEMIC INTERNAL MEDICINE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED S SIDDIQUE MD (PRESIDENT)
(586) 532-8500
Entity
Organization
Contact information
Practice address
46857 GARFIELD RD, MACOMB, MI 48044-5225
(586) 532-8500
(586) 532-1515
Mailing address
46857 GARFIELD RD, MACOMB, MI 48044-5225
(586) 532-8500
(586) 532-1515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
09/11/2025
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