Dr SHAD SIDDIQI is a male medical professional, specializing in Pain Management. He graduated in 2014.
PORRETTA CENTER FOR ORTHOPAEDIC SURGERY PC
26750 PROVIDENCE PKWY
SUITE 200
NOVI
MI
483741212
Tel: 2483497015
| Npi | 1154733285 |
| Pac Id | 4385951532 |
| Professional Enrollment Id | I20190722003565 |
| Last Name | SIDDIQI |
| First Name | SHAD |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialty 1 | ANESTHESIOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | ANESTHESIOLOGY |
| Organization Legal Name | PORRETTA CENTER FOR ORTHOPAEDIC SURGERY PC |
| Group Practice Pac Id | 2860585544 |
| Number Of Group Practice Members | 25 |
| Line 1 Street Address | 26750 PROVIDENCE PKWY |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | NOVI |
| State | MI |
| Zip Code | 483741212 |
| Phone Number | 2483497015 |
| Hospital Affiliation Ccn 1 | 230053 |
| Hospital Affiliation Lbn 1 | HENRY FORD HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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