Physician Compare National (NPI:1922024751)

HEALTHCARE PROVIDER: MOHAMMAD RASHID SIDDIQUI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922024751
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567542848
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071228000306
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIDDIQUI
	Individual professional last name
Provider First Name	MOHAMMAD
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1963
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	W A FOOTE MEMORIAL HOSPITAL INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0244136067
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	424
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	27931 C DR N
	Group Practice or individual's line 1 address
Line 2 Street Address	HENRY FORD ALLEGIANCE FAMILY MEDICINE ALBION
	Group Practice or individual's line 2 address
City	ALBION
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	492248402
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5172052579
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230092
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HENRY FORD ALLEGIANCE HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230217
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OAKLAWN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y