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1184697559

NPI Code Detail

MEDICARE: SAID RAQIB SANA MD

MEDICARE: SAID RAQIB SANA 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	207P00000X	Emergency Medicine Physician	30074	IA
2	207Q00000X	Family Medicine Physician	4353	SD
3	207Q00000X	Family Medicine Physician	19520	NE
4	207Q00000X	Family Medicine Physician	30074	IA
5	207Q00000X	Family Medicine Physician	A78621	CA

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
3	30612	OTHER	NE	BCBS NE

General Provider Information

NPI Number	:	1184697559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAID RAQIB SANA MD

Provider Business Mailing Address
First Line	:	1111 11TH ST
Second Line	:
City	:	HAWARDEN
State	:	IA
Zip	:	51023-1903
Country	:	US
Telephone Number	:	712-551-3105
Fax Number	:	712-294-7224

Provider Business Practice Location Address
First Line	:	1809 NATIONAL AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92113-2113
Country	:	US
Telephone Number	:	619-515-2300
Fax Number	:

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	03/17/2018

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Directions to “ SAID RAQIB SANA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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