MS. FAZILA MAHMOOD SIDDIQUI


Address: 22201 Moross Rd Bldg Suite380, Detroit, MI 48236-2169
Phone: 8777843667

MS. FAZILA MAHMOOD SIDDIQUI (NPI# 1376186460) 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) 1376186460
Entity Type Individual
Full Name MS. FAZILA MAHMOOD SIDDIQUI
Credential NP
Practice Address 22201 Moross Rd Bldg Suite380
Detroit
MI 48236-2169
Practice Telephone 8777843667
Mailing Telephone 8777843667
Mailing Fax Number 3133434567
Enumeration Date 2019-10-22
Last Update Date 2019-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704278023 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 22201 MOROSS RD BLDG SUITE380
City DETROIT
State MI
Zip Code 48236-2169

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093323966 Khairya Fatouh Pathology 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 2020-07-16
1134744998 Harish Harry Gidda Internal Medicine 22201 Moross Rd, Suite 50, Detroit, MI 48236 2020-06-08
1770107443 Arshan Ali Khan Internal Medicine 22101 Moross Rd, Suite 50, Detroit, MI 48236 2020-05-29
1750901658 Annika Van Wieren Emergency Medicine 22101 Moross Road, Emergency Department, Detroit, MI 48236 2020-04-21
1801449483 Ishaq Azeem Asghar Student in an Organized Health Care Education/Training Program 22101 Moross Road, Pathology Department, Detroit, MI 48236 2019-07-22
1295290443 Ascension St. John Hospital Dietitian, Registered 22201 Moross, Ste. 270, Detriot, MI 48236 2019-02-01
1548747413 Abiodun Adenuga Adefarasin Pharmacist 20746 Mack Avenue, Gross Pointe Woods, MI 48236 2018-07-24
1629564042 Hamza H Khan Student in an Organized Health Care Education/Training Program 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 2018-07-09
1235631664 David Lee Williams Physical Therapist 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 2018-03-01
1164979720 Memphie Morgan Licensed Practical Nurse 91527 Cheshire St., Grosse Pointe, MI 48236 2016-09-01
Find all providers in zip 48236

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386243574 Carl Andrew Ballard Nurse Practitioner 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 2020-10-20
1639776164 Jennifer N Fucile Nurse Practitioner 3800 Woodward Ave Apt 702, Detroit, MI 48201-1980 2020-10-07
1649880329 Dedra Delane Ford Nurse Practitioner 18255 Birchcrest Dr, Detroit, MI 48221-2750 2020-08-06
1528695624 Venvisor Health Michigan LLC Nurse Practitioner 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 2020-03-26
1558909978 Ruxandra Maria Lazar Nurse Practitioner 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 2019-12-16
1205482692 Ladawn Denise Kennedy Nurse Practitioner 16645 Ilene St, Detroit, MI 48221-3401 2019-08-13
1427600246 Christina Neirinck Nurse Practitioner 2401 St Antoine St, Detroit, MI 48201 2019-07-11
1548821556 Ty R Houston Nurse Practitioner 13100 Corbett St, Detroit, MI 48213-2081 2019-06-21
1235795451 Nekisha Bailey Nurse Practitioner 7501 Parkland, Detroit, MI 48239-1079 2019-05-13
1447713177 Pauline Robinson Nurse Practitioner 4300 Balfour Rd, Detroit, MI 48224-3442 2019-04-10
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Competitor

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City DETROIT
Zip Code 48236

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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