MEDICARE: DR. SADIQ AL NAKEEB MD

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	207R00000X	Internal Medicine Physician	ME103713	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME103713	FL
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME103713	FL
4	207RP1001X	Pulmonary Disease Physician	ME103713	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073562450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SADIQ AL NAKEEB MD

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:

Provider Business Practice Location Address
First Line	:	6376 PINE RIDGE RD UNIT 440
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3928
Country	:	US
Telephone Number	:	239-315-7123
Fax Number	:	239-315-7122

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	02/06/2024

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