Siddiqui, Parveen N

Siddiqui, Parveen N is an individual health care provider with primary practice located at 23411 Jefferson Ave Suite 100, Saint Clair Shores MI 48080-1949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Siddiqui, Parveen N can be contacted via phone (586) 778-4080.

Contact Information

Primary practice address
23411 Jefferson Ave Suite 100 Saint Clair Shores MI 48080-1949
Fax: (586) 778-6055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X PS076755 Michigan

Profile Details

NPI number 1689672024
LBN Legal business name Siddiqui, Parveen N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Apr 29th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689672024 NPPES
Michigan MEDICAID 4240936

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