DR. FAHAD SIDDIQUI


Address: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576
Phone: 3134946700

DR. FAHAD SIDDIQUI (NPI# 1104307651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104307651
Entity Type Individual
Full Name DR. FAHAD SIDDIQUI
Practice Address 2700 Martin Luther King Jr Blvd
Detroit
MI 48208-2576
Mailing Address 5580 Nottingham Ct Apt 210
Dearborn
MI 48126-2672
Practice Telephone 3134946700
Mailing Telephone 7327995756
Enumeration Date 2018-08-23
Last Update Date 2019-11-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
2901600262 MI Dental Providers

Office Location

Street Address 2700 MARTIN LUTHER KING JR BLVD
City DETROIT
State MI
Zip Code 48208-2576

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144215005 Salvatore Russell Cutino Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2005-09-16
1730780933 Mariam Khan Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-11-04
1508466350 Shriya Kulkarni Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-10-30
1487267373 Ranjitha Rai Padhiar Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-08-28
1518575810 Robert Samuel Herman Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-07-22
1598383267 Tingxi Liu Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-07-09
1457976680 Alexandria Horner Student in an Organized Health Care Education/Training Program 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-06-13
1184248692 Asita Jenani Vinayagalingam Student in an Organized Health Care Education/Training Program 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-05-31
1659993384 Monica Gandhi Student in an Organized Health Care Education/Training Program 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-05-15
1962023705 Alexa Simmons Student in an Organized Health Care Education/Training Program 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 2020-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1932645405 Diane Louise Dodson Counselor 5500 Trumbull Apt 315, Detroit, MI 48208 2017-01-09
1164881306 Cory Eugene Martin Counselor 1852 W. Grand Blvd., Detroit, MI 48208 2016-02-16
1578947784 Hamza Belhaj Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 2015-07-17
1942629167 Diana Pool Counselor 3737 Lawton, Detroit, MI 48208 2014-04-15
1124467048 Aisha Williams Social Worker 4707 Vinewood St., Detroit, MI 48208 2013-06-25
1295079895 Mia Love Nurse Practitioner 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 2012-11-20
1992064356 Valarie Egeria Foulks Counselor 2051 W. Grand Blvd, Detroit, MI 48208 2012-05-04
1023304078 Ayana Njeri Davis Massage Therapist 2550 W. Grand Blvd, Detroit, MI 48208 2011-06-28
1184922627 Shar Inc. Community Based Residential Treatment Facility, Mental Illness 1852 W.grand Blvd, Detroit, MI 48208 2011-03-08
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669722856 Richard Iain Tann Dentist 79 W Alexandrine St Fl 3, Detroit, MI 48201-2015 2012-09-14
1093846974 Mona Rizk Ibrahim Dentist Detroit Health Dept. - Herman Kiefer Health Complex, 1151 Taylor Street, 7th Floor Pediatric Dental Clinic, Detroit, MI 48202-1732 2007-03-09
1801846985 James Patrick Stenger Dentist 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 2006-05-11
1104482439 Childrens Dental Care of Detroit Dentist 430 Mack Ave, Detroit, MI 48201-2136 2019-05-13
1992165930 Rehab Alabduljabbar Dentist 2700 Mlk Jr Blvd, Detroit, MI 48208-2576 2016-03-03
1851751150 Thomas Veraldi, Dmd Residency and Hospital Practice, PC Dentist 79 W Alexandrine St, 3rd Flr, Detroit, MI 48201-2015 2016-02-29
1215215298 Deliver Dental Solutions, Inc. Dentist 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 2011-07-25
1821304858 Kristen Charlene Ponichter Dentist 7633 E Jefferson Ave, Detroit, MI 48214-3730 2010-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033717558 Discover Smiles Pediatric Dentistry Dentist 2277 Science Pkwy Ste 2, Okemos, MI 48864-2551 2020-10-16
1740898873 Megan E Stowers Dds Ms Plc Dentist 7459 Middlebelt Rd Ste 1, West Bloomfield, MI 48322-4184 2020-07-15
1447884069 Jocelyn M. Robelli Dds, Ms, Pllc Dentist 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 2020-02-24
1457914038 Mitten Kids Dentistry Caledonia Plc Dentist 6477 Cherry Meadow Dr Se Ste 4, Caledonia, MI 49316-7351 2019-04-18
1780143982 Childrens Dental Specialists of Hazel Park Pllc Dentist 22241 John R Rd, Hazel Park, MI 48030-1716 2019-03-18
1487128120 Dental Group Associates PC Dentist 4505 Cascade Rd Se # B, Grand Rapids, MI 49546-8381 2019-01-16
1184194433 Pediatric Dental Specialists of West Michigan Dentist 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 2018-11-29
1811465990 Kingma Pediatric Dentistry Pllc Dentist 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 2018-11-07
1407322548 Great Lakes Bay Pediatric Dentistry, Plc Dentist 5605 Colony Dr N Ste 2, Saginaw, MI 48638-7187 2018-10-16
1063987725 Little Red Pediatric Dentistry, Plc Dentist 12723 N Bellwood Dr Ste 20, Holland, MI 49424-7275 2018-10-09
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Competitor

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City DETROIT
Zip Code 48208

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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