Provider Demographics
NPI:1215203237
Name:SIDDIQUI, AFAAQ HYDER (MD)
Entity type:Individual
Prefix:DR
First Name:AFAAQ
Middle Name:HYDER
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:29383 GLEN OAKS BLVD E
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2930
Mailing Address - Country:US
Mailing Address - Phone:630-544-4112
Mailing Address - Fax:
Practice Address - Street 1:40000 8 MILE RD
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-2134
Practice Address - Country:US
Practice Address - Phone:248-380-6200
Practice Address - Fax:248-380-6251
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2021-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301100953207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine