MEDICARE: SANOBER 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
1	2080P0210X	Pediatric Nephrology Physician	W2565	TX

General Provider Information

NPI Number	:	1467974980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANOBER SADIQ MD

Provider Business Mailing Address
First Line	:	6410 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3000
Country	:	US
Telephone Number	:	832-325-7111
Fax Number	:	713-512-2233

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3000
Country	:	US
Telephone Number	:	832-325-7111
Fax Number	:	713-512-2233

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

Provider Enumeration Date	:	07/17/2017
Last Update Date	:	12/05/2025

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