MEDICARE: DR. ABDUL SADAT M.D.

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	207Q00000X	Family Medicine Physician	33888	NC

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	74157	OTHER	NC	BCBS OF NC GROUP # 015CK
3	D1497	OTHER	NC	DR SADAT'S MEDCOST #

General Provider Information

NPI Number	:	1881694370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDUL SADAT M.D.

Provider Business Mailing Address
First Line	:	10931 RAVEN RIDGE RD
Second Line	:	STE 115
City	:	RALEIGH
State	:	NC
Zip	:	27614-6499
Country	:	US
Telephone Number	:	919-676-0202
Fax Number	:	919-676-0224

Provider Business Practice Location Address
First Line	:	10931 RAVEN RIDGE RD
Second Line	:	STE 115
City	:	RALEIGH
State	:	NC
Zip	:	27614-6499
Country	:	US
Telephone Number	:	919-676-0202
Fax Number	:	919-676-0224

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	05/10/2008

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