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NPI Code Detail

MEDICARE: DR. HASNAIN J SADIQ MD

MEDICARE: DR. HASNAIN J SADIQ 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
12084P0800XPsychiatry Physician23284NE
22084P0800XPsychiatry PhysicianC171803CA

General Provider Information

NPI Number : 1184641193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HASNAIN J SADIQ MD
Provider Business Mailing Address
First Line : 314 S 169TH CIR
Second Line :
City : OMAHA
State : NE
Zip : 68118-3000
Country : US
Telephone Number : 402-609-0844
Fax Number : 402-990-3627
Provider Business Practice Location Address
First Line : 850 E FOOTHILL BLVD
Second Line :
City : RIALTO
State : CA
Zip : 92376-5230
Country : US
Telephone Number : 909-421-9495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 10/04/2024

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