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

Mustafa Siddique

Individual provider Vascular Surgery Physician · NPI 1487997284

Mustafa Siddique is a Vascular Surgery in Trenton, Michigan. Qualified in 2020, 6 years ago. Practices with Jawad a Shah MD PC, a 90-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2013

Practice location Address checks out

5400 Fort St Ste 200
Trenton, MI 48183-4636
Phone: (734) 362-6730
Fax: (734) 362-6735
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301507567 (MI)

Record details

NPI number1487997284
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2013
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jawad A Shah Md Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Trenton