SHAZIA SIDDIQI PLLC (NPI# 1124647425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124647425 |
| Entity Type | Organization |
| Organization Name | SHAZIA SIDDIQI PLLC |
| Practice Address |
36 E 14 Mile Rd Clawson MI 48017-2133 |
| Mailing Address |
951 Longfellow Dr Troy MI 48085-7900 |
| Practice Telephone | 2483974649 |
| Mailing Telephone | 2482105118 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | SHAZIA SIDDIQI (OWNER) |
| Authorized Official Telephone | 2483974649 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Let's Art About It | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 951 Longfellow Dr, Troy, MI 480857900 | 2483974649 |
| Street Address |
36 E 14 MILE RD |
| City | CLAWSON |
| State | MI |
| Zip Code | 48017-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114438512 | Shazia Siddiqi | Counselor | 36 E 14 Mile Rd, Clawson, MI 48017-2133 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947438 | Victor Hliebay | Nurse Practitioner | 1402 W 14 Mile Road, Clawson, MI 48017 | 2020-09-22 |
| 1174982102 | Kristina Reesman | Physical Therapist | 1409 Kenilworth Pl, Clawson, MI 48017 | 2016-02-18 |
| 1992183255 | Ali Shams | Emergency Medicine | 617 S Webik Ave, Clawson, MI 48017 | 2015-05-07 |
| 1821257197 | Wessam Yassa | Pharmacist | 610 E Elmwood Ave, Apt 102, Clawson, MI 48017 | 2008-06-03 |
| 1528259165 | Davinnci Dental Pllc | Dentist | 626 North Crooks, Clawson, MI 48017 | 2007-08-08 |
| 1780897892 | Sharon Kennedy Hosea | Dentist | 635 West 14 Mile Road, Clawson, MI 48017 | 2007-05-07 |
| 1700944063 | Steven J Rabaut | Physical Therapist | 901 W Maple Road, Clawson, MI 48017 | 2006-12-05 |
| 1457313611 | Craig S Wernette Dds PC | Dentist | 17 South Main St, Clawson, MI 48017 | 2006-04-04 |
| 1912981234 | Barbara M Kuczynski | Ophthalmology | 330 E 14 Mile Rd, Ste B, Clawson, MI 48017 | 2005-11-30 |
| 1265807879 | Deanne Ginns Gruenberg | Counselor | 808 W 14 Mile Rd, Clawson, MI 48017 | 2015-12-08 |
| Find all providers in zip 48017 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| 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.