MEDICARE: DR. SADEEQ SADIQ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207NS0135X	Procedural Dermatology Physician	A89200	CA
2	207P00000X	Emergency Medicine Physician	A89200	CA

General Provider Information

NPI Number	:	1881642205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SADEEQ SADIQ M.D.

Provider Business Mailing Address
First Line	:	1561 CREEKSIDE DR STE 140
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-3494
Country	:	US
Telephone Number	:	916-800-0082
Fax Number	:

Provider Business Practice Location Address
First Line	:	1561 CREEKSIDE DR STE 140
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-3494
Country	:	US
Telephone Number	:	916-800-0082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	04/16/2026

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