Dr Parveen N Siddiqui, MD | |
23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080-1949 | |
(586) 778-4080 | |
(586) 778-6055 |
Full Name | Dr Parveen N Siddiqui |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 23411 Jefferson Ave, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689672024 | NPI | - | NPPES |
4240936 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | PS076755 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St John Hospital | 3173424082 | 279 |
Entity Name | Ascension St John Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Mailing Address | Practice Location Address |
---|---|
Dr Parveen N Siddiqui, MD Po Box 673215, Detroit, MI 48267-3215 Ph: (586) 778-4080 | Dr Parveen N Siddiqui, MD 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080-1949 Ph: (586) 778-4080 |
Jahnavi Chakrala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20229 E 9 Mile Rd Ste 200, Saint Clair Shores, MI 48080 Phone: 586-267-0200 Fax: 313-343-4412 | |
Kimberley Demerle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081 Phone: 586-772-5550 Fax: 586-772-2470 | |
Maridel Aileen Hernandez, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19603 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-7900 Fax: 586-445-7940 | |
Daniel Shelden, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-447-8021 Fax: 586-447-8022 | |
Dr. Demetrios Mermiges, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-772-6850 Fax: 586-772-3810 | |
Zaid Kasmikha, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0429 | |
Dr. Marybeth Hardwicke, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-778-4080 Fax: 586-778-6055 |