| Vk Siddiqui Md Pc | |
|
18161 E 8 Mile Rd Eastpointe MI 48021-3219 | |
| (586) 772-7200 | |
| (586) 772-7207 |
| Full Name | Vk Siddiqui Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18161 E 8 Mile Rd, Eastpointe, Michigan |
| Authorized Official Name and Position | Vaqar Siddiqui (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5867727200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vk Siddiqui Md Pc 18161 E 8 Mile Rd Eastpointe MI 48021-3219 Ph: (586) 772-7200 | Vk Siddiqui Md Pc 18161 E 8 Mile Rd Eastpointe MI 48021-3219 Ph: (586) 772-7200 |
| NPI Number | 1295805588 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 12/17/2014 |
| Medicare PECOS PAC ID | 6901815109 |
|---|---|
| Medicare Enrollment ID | O20060417000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295805588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Saadia V Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164409496 PECOS PAC ID: 0941198410 Enrollment ID: I20040306000194 |
| Provider Name | Vaqar Khalid Siddiqui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285609008 PECOS PAC ID: 8729044953 Enrollment ID: I20041208000963 |
| Provider Name | Carla R Benavides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891246088 PECOS PAC ID: 7416237102 Enrollment ID: I20161215001582 |
| Provider Name | Joji Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902341043 PECOS PAC ID: 9537444138 Enrollment ID: I20170322001532 |
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