MUKARRAM MOHAMMED SIDDIQUI (NPI# 1972583177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972583177 |
| Entity Type | Individual |
| Full Name | MUKARRAM MOHAMMED SIDDIQUI |
| Credential | MD |
| Practice Address |
29877 Telegraph Rd Suite 400 Southfield MI 48034-1332 |
| Practice Telephone | 2487992600 |
| Practice Fax Number | 2487992604 |
| Mailing Telephone | 2487992600 |
| Mailing Fax Number | 2487992604 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301062045 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4782011-10 | 05 |
| Street Address |
29877 TELEGRAPH RD SUITE 400 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078587 | Walter J Cukrowski | Ophthalmology | 29877 Telegraph Rd, Suite 100, Southfield, MI 48034-1332 | 2005-10-24 |
| 1710547823 | Christina Akaraz | Nurse Practitioner | 29877 Telegraph Rd, Southfield, MI 48034-1332 | 2019-06-20 |
| 1669919379 | Wook Kim Md PC | Specialist | 29877 Telegraph Rd, Ste 401, Southfield, MI 48034-1332 | 2017-01-20 |
| 1538544218 | Jacqueline Elizabeth Smith | Nurse Practitioner | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2015-07-23 |
| 1356779391 | Michigan Premier Geriatrics Pllc | Internal Medicine | 29877 Telegraph Rd, Suite 200, Southfield, MI 48034-7659 | 2013-10-30 |
| 1417384199 | Farmbrook Family Practice Pllc | Health Maintenance Organization | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2013-09-26 |
| 1063735058 | Hassan Amirikia Md PC | Obstetrics & Gynecology | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2010-03-05 |
| 1093045791 | Care Continuum Counseling Services | Counselor | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2010-01-04 |
| 1134459969 | Wook Kim Md PC | Durable Medical Equipment & Medical Supplies | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-7661 | 2009-12-29 |
| 1053640557 | Plastic Surgery of Michigan | Plastic Surgery | 29877 Telegraph Rd, Suite 107, Southfield, MI 48034-1332 | 2009-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
| 1467749424 | Robert M Marcotte | Internal Medicine | 27177 Lahser Rd Ste 103, Southfield, MI 48034-8467 | 2011-06-28 |
| 1962705004 | Roshni Mukesh Shah | Internal Medicine | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2010-12-13 |
| 1356568828 | Tareq Yousef Goussous | Internal Medicine | 16001 West 9 Mile Road, Southfield, MI 48075 | 2007-04-19 |
| 1831284991 | Cardiovascular Associates PC | Internal Medicine | 27177 Lahser, Suite 103, Southfield, MI 48034 | 2006-10-04 |
| 1982643722 | Raj & Associates M.d. P.C. | Internal Medicine | 26222 Telegraph Rd, Ste 100, Southfield, MI 48034 | 2006-06-06 |
| 1760467054 | Franklin E Hull | Internal Medicine | 22250 Providence Dr., Ste #705, Southfield, MI 48075 | 2005-12-09 |
| 1760472328 | Kamalesh Lahiri | Internal Medicine | 18500 W 12 Mile Rd, Suite 1, Southfield, MI 48076-2674 | 2005-10-25 |
| 1265963797 | Cameron Whitler | Internal Medicine | 22250 Providence Dr, Suite 705, Southfield, MI 48075-4818 | 2017-03-26 |
| 1508214321 | Andrew Davis Assaf | Internal Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2016-06-02 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.