SHAD SIDDIQI


Address: 22250 Providence Dr Ste 401, Southfield, MI 48075-6212
Phone: 8669742673

SHAD SIDDIQI (NPI# 1154733285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154733285
Entity Type Individual
Full Name SHAD SIDDIQI
Credential DO
Practice Address 22250 Providence Dr Ste 401
Southfield
MI 48075-6212
Mailing Address 18444 N 25th Ave Ste 310
Phoenix
AZ 85023-1266
Practice Telephone 8669742673
Practice Fax Number 8669392673
Mailing Telephone 8669742673
Mailing Fax Number 8669392673
Enumeration Date 2014-05-23
Last Update Date 2019-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology 5101024603 MI Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
5101024603 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 22250 PROVIDENCE DR STE 401
City SOUTHFIELD
State MI
Zip Code 48075-6212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487150181 Waleed Mohammad Student in an Organized Health Care Education/Training Program 22250 Providence Dr Ste 401, Southfield, MI 48075-6212 2018-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083175913 Bella Treatment Center PC Pain Medicine 28763 Northwestern Hwy Ste 100, Southfield, MI 48034-1842 2019-03-25
1366068850 Joint and Spine Specialist, Pllc Pain Medicine 29829 Telegraph Rd Ste 200, Southfield, MI 48034-7656 2020-06-19
1932317260 Arvinder Singh Dhillon Pain Medicine 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 2007-05-18
1720183353 Karl Robert Freydl Pain Medicine 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 2006-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558903294 Comprehensive Pain Specialists, Pllc Pain Medicine 4302 Bay City Rd, Midland, MI 48642-6014 2019-10-15
1437715232 Comprehensive Pain Specialists, Pllc Pain Medicine 705 E Frank St, Caro, MI 48723 2019-05-16
1245795848 Advanced Pain Management Specialists, LLC Pain Medicine 46325 W 12 Mile Rd Ste 335, Novi, MI 48377-2464 2019-02-07
1356738686 Genesee Pain Associates PC Pain Medicine 4468 Oakbridge Dr, Flint, MI 48532-5422 2015-04-24
1457745150 Strategy Anesthesia Michigan Pllc Pain Medicine 13460 Fort St, Southgate, MI 48195-1138 2015-03-20
1407115884 Michiana Spine, Sports & Occupational Rehab, PC Pain Medicine 2500 Niles Rd Ste 3, Saint Joseph, MI 49085-3225 2012-05-07
1386902013 Michiana Spine, Sports & Occupational Rehab, PC Pain Medicine 24 N Saint Joseph Ave Ste B, Niles, MI 49120-2263 2012-05-01
1225302821 Pain Clinic Management Group, Pllc Pain Medicine 35634 Dequindre Rd, Sterling Heights, MI 48310-4288 2012-02-28
1740567163 Northville Pain Specialists Plc Pain Medicine 215 E. Main Street, Suite 201, Northville, MI 48167-1686 2011-11-14
1639309388 John Birgiolas Pain Medicine 2147 Health Dr Sw, Wyoming, MI 49519 2009-07-15
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Competitor

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City SOUTHFIELD
Zip Code 48075

Improve Information

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Dataset Information

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.

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