JAMES SIRAJUDDIN MD PC NPI 1609065358

NPI Information

  • NPI: 1609065358
  • Provider Name: JAMES SIRAJUDDIN MD PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE MEDICAL CLINIC
  • Address: 203 CENTER ST
    SOUTH HAVEN, MI
    ZIP 49090
  • Phone: (269) 637-2102

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NPI Details

JAMES SIRAJUDDIN MD PC is a general practice in South Haven, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JAMES SIRAJUDDIN MD PC NPI is 1609065358. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Medical Clinic.

The provider's business location address is:

203 CENTER ST
SOUTH HAVEN, MI
ZIP 49090-311
Phone: (269) 637-2102
Fax: (269) 637-3783

The provider's authorized official is James Sirajuddin .
The authorized official title is President and has the following contact phone number (269) 637-2102.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 4/1/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice4301039518MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12111690MEDICAIDMICHIGAN
20N83010MEDICARE PINMICHIGAN

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: 11/21/2025

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