Individual
DR. MASOOD AHMED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-4130
Mailing address
4886 TRAILVIEW, WEST BLOOMFIELD, MI 48322-4572
(248) 865-9476
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301078987
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301078987
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301078987
MI
Other
Enumeration date
04/09/2007
Last updated
01/15/2021
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