Healthcare Provider Details
I. General information
NPI: 1326700337
Provider Name (Legal Business Name): ZAREEN SADIQ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/07/2021
Last Update Date: 10/07/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3200 ARVILLE ST APT 208
LAS VEGAS NV
89102-7650
US
IV. Provider business mailing address
3829 BELLA LEGATO AVE
NORTH LAS VEGAS NV
89081-4047
US
V. Phone/Fax
- Phone: 502-705-6784
- Fax:
- Phone: 725-206-8757
- Fax: 702-342-5890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: