Healthcare Provider Details

I. General information

NPI: 1336663707
Provider Name (Legal Business Name): SAADIA HALEEMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 MEDICAL CENTER DR STE B510
HUNTINGTON WV
25701-3657
US

IV. Provider business mailing address

1448 10TH AVE STE 304
HUNTINGTON WV
25701-3579
US

V. Phone/Fax

Practice location:
  • Phone: 304-691-8850
  • Fax:
Mailing address:
  • Phone: 304-691-8850
  • Fax: 304-523-9470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number32716
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: