1376061598 NPI number — SADIAH MUNMUN HOQUE DPM

Table of content: SADIAH MUNMUN HOQUE DPM (NPI 1376061598)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376061598 NPI number — SADIAH MUNMUN HOQUE DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOQUE
Provider First Name:
SADIAH
Provider Middle Name:
MUNMUN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376061598
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1020 KINGS HWY APT 204
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLMAWR
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08031-1022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-784-7830
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5735 RIDGE AVE STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19128-1747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-487-4284
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  SC006880 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: SC006880 . This is a "DPM COMMONWEALTH OF PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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