SHAD SIDDIQI

SOUTHFIELD, MI
NPI1154733285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: MI  5101024603)
Additional Taxonomies207L00000X Anesthesiology
(Licence: MI  5101024603)
Enumeration Date2014-05-23
Last Update Date2019-08-01
Business Address
SHAD SIDDIQI DO
22250 PROVIDENCE DR STE 401
SOUTHFIELD, MI 48075-6212
Phone number: 866-974-2673
Mailing Address
SHAD SIDDIQI DO
18444 N 25TH AVE STE 310
PHOENIX, AZ 85023-1266
Phone number: 866-974-2673