Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mohamed S Siddique, MD

Individual provider Internal Medicine Physician · NPI 1285685446

Mohamed S Siddique, MD is an Internal Medicine in Southfield, Michigan. Qualified in 1975, 51 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
51
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

27207 Lahser Rd Ste 200B
Southfield, MI 48034-8407
Phone: (248) 354-4709
Fax: (248) 354-4807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MS044111 (MI)

Record details

NPI number1285685446
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2006
Last updated in NPPESFebruary 22, 2016
Mailing address17177 N Laurel Park Dr, Ste 439, Livonia, MI 48152-3938

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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