Owais Siddiqui, DO | |
36500 S Gratiot Ave, Clinton Twp, MI 48035-1772 | |
(586) 790-9003 | |
Not Available |
Full Name | Owais Siddiqui |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 36500 S Gratiot Ave, Clinton Twp, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174085732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036161557 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | Secondary |
Entity Name | Cepamerica Illinois Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Entity Name | Iems Physician Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790544047 PECOS PAC ID: 2567802556 Enrollment ID: O20240424001359 |
Mailing Address | Practice Location Address |
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Owais Siddiqui, DO 36500 S Gratiot Ave, Clinton Twp, MI 48035-1772 Ph: (586) 790-9003 | Owais Siddiqui, DO 36500 S Gratiot Ave, Clinton Twp, MI 48035-1772 Ph: (586) 790-9003 |
Dr. Kevin Alexander Brody, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-236-2601 Fax: 586-263-2589 | |
Dr. Scott Sipp, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-236-2601 | |
Jerry Michael Greib, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-493-8000 | |
Anthony James Colucci, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 | |
Dr. Ralph David Scolari, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 | |
Dr. Amit Chopra, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 |