1235106758 NPI number — RAHEELA SADIQ MD

Table of content: RAHEELA SADIQ MD (NPI 1235106758)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235106758 NPI number — RAHEELA SADIQ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SADIQ
Provider First Name:
RAHEELA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1235106758
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:
6300 W PARKER RD STE 128
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75093-8183
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-981-8658
Provider Business Mailing Address Fax Number:
972-981-8657

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6300 W PARKER RD STE 128
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75093-8183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-981-8658
Provider Business Practice Location Address Fax Number:
972-981-8657
Provider Enumeration Date:
03/02/2006

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: 207PE0005X , with the licence number:  MD00037438 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: MD00037483 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: MD00037438 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2083P0011X , with the licence number: MD00037438 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: N2766 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0170254 . This is a "WA LABOR & INDUSTRIES" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8247793 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 912080948 . This is a "GROUP HEALTH" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "REGENCE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "FIRST HEALTH" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "TRICARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "PACIFICCARE/SECURE HORIZON" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: DO1827 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "CIGNA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "AETNA INSURANCE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "FIRST CHOICE HEALTH PLANS" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "MOLINA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 3130SA . This is a "REGENCE BLUE SHIELD" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "PRIVATE HEALTHCARE SYSTEM" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "KITSAP HEALTH PLANS" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "UNIFORM MEDICAL PLAN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 912080948 . This is a "PREMERA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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