MEDICARE: SYED AKBAR ALI SADIQ MD FACP

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	D0024721	MD
2	207R00000X	Internal Medicine Physician	MD12398	DC

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

General Provider Information

NPI Number	:	1740390012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED AKBAR ALI SADIQ MD FACP

Provider Business Mailing Address
First Line	:	14333 LAUREL BOWIE ROAD
Second Line	:	SUITE 208
City	:	LAUREL
State	:	MD
Zip	:	20708-1179
Country	:	US
Telephone Number	:	301-776-0061
Fax Number	:	301-604-9454

Provider Business Practice Location Address
First Line	:	14333 LAUREL BOWIE ROAD
Second Line	:	SUITE 208
City	:	LAUREL
State	:	MD
Zip	:	20708-1179
Country	:	US
Telephone Number	:	301-776-0061
Fax Number	:	301-604-9454

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	06/09/2008

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