Individual provider · Type 1 NPI

Shad Siddiqi, DO

Interventional Pain Medicine Physician · Southfield, MI

NPI number 1154733285 Active

Practice location

22250 Providence Dr Ste 401
Southfield, MI 48075-6212

Fax (866) 939-2673

Mailing address

18444 N 25th Ave Ste 310
Phoenix, AZ 85023-1266

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X5101024603 (MI)
Interventional Pain Medicine Physician Primary 208VP0014X5101024603 (MI)

Interventional Pain Medicine Physician: 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.

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About NPI 1154733285

Shad Siddiqi, DO's National Provider Identifier is 1154733285, issued on May 23, 2014. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Southfield, MI. The record was last updated on Aug 1, 2019.