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DR. FAZEEL MUKHTAR SIDDIQUI M.D. NPI 1154513687


NPI Information

NPI: 1154513687
Provider Name: DR. FAZEEL MUKHTAR SIDDIQUI, M.D.
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Individual

Specialization: Vascular Neurology

PECOS Registration: Yes

Address:
5900 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519
Phone: (616) 252-7200
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DR. Fazeel Mukhtar Siddiqui, M.D. is a vascular neurology psychiatry neurology in Wyoming, MI with 20 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. DR. Fazeel Mukhtar Siddiqui, M.D. NPI is 1154513687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5900 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519-606
Phone: (616) 252-7200

The NPI 1154513687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

The enumeration date for this NPI number is 8/17/2007 and was last updated on 10/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology036-132058ILLINOISNo
22084V0102XPsychiatry & NeurologyVascular Neurology036-132058ILLINOISNo
32084V0102XPsychiatry & NeurologyVascular Neurology4301116960MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036132058MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.