Individual
MUKARRAM MOHAMMED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27209 LAHSER RD STE 226, SOUTHFIELD, MI 48034-8403
(248) 595-8802
(248) 945-1222
Mailing address
27209 LAHSER RD STE 226, SOUTHFIELD, MI 48034-8403
(248) 595-8802
(248) 945-1222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301062045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4782011-10
—
MI
Enumeration date
01/23/2006
Last updated
07/01/2023
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