1. Home
  2. Directory
  3. Michigan
  4. South Haven
  5. General Practice
  6. NPI Profile

RIVERSIDE MEDICAL CLINIC
NPI 1609065358
General Practice in South Haven, MI

Active since October 18, 2007
203 CENTER ST, SOUTH HAVEN, MI 49090(269) 637-2102(269) 637-3783 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Riverside Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE MEDICAL CLINIC (NPI 1609065358) is a healthcare organization registered as a general practice in South Haven, Michigan and active in the NPI registry since October 2007. The organization lists James Sirajuddin, President, as its authorized official.

NPPES Registry Identity

NPI1609065358
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJAMES SIRAJUDDIN MD PC
Location Address203 CENTER STSouth Haven, MI 49090-1311
Mailing Address203 Center StSouth Haven, MI 49090-1311 · (269) 637-2102 · Fax (269) 637-3783
Phone(269) 637-2102
Fax(269) 637-3783
Organization SubpartNo
Authorized OfficialJames SirajuddinPresident · (269) 637-2102
Enumeration DateOctober 18, 2007
Last NPPES UpdateApril 1, 2008
✔ NPI 1609065358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301039518
Definition
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
203 CENTER ST, South Haven, MI 49090
Open in Google Maps ↗

Other Names 1

Doing Business AsRiverside Medical Clinic

Other Identifiers 2

Medicaid2111690MI
Medicare PIN0N83010MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Sirajuddin MD PC's NPI number?

The NPI number for James Sirajuddin MD PC is 1609065358. It was assigned to this organization in the NPPES registry on October 18, 2007. The provider is doing business as Riverside Medical Clinic.

Where is James Sirajuddin MD PC located?

James Sirajuddin MD PC is located at 203 Center St, South Haven, MI 49090. The listed phone number is (269) 637-2102.

What is James Sirajuddin MD PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for James Sirajuddin MD PC was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.