| Javed N. Sadiq, Md Inc | |
|
26021 Business Center Dr Redlands CA 92374-4553 | |
| (909) 796-0363 | |
| (909) 255-7294 |
| Full Name | Javed N. Sadiq, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26021 Business Center Dr, Redlands, California |
| Authorized Official Name and Position | Norma Luevano (OFFICE MANAGER) |
| Authorized Official Contact | 9097960363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javed N. Sadiq, Md Inc 10408 Industrial Cir Redlands CA 92374-4548 Ph: (909) 796-0363 | Javed N. Sadiq, Md Inc 26021 Business Center Dr Redlands CA 92374-4553 Ph: (909) 796-0363 |
| NPI Number | 1144755463 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 04/24/2017 |
| Medicare PECOS PAC ID | 2163794850 |
|---|---|
| Medicare Enrollment ID | O20170815003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144755463 | NPI | - | NPPES |
| 1609194703 | Other | CA | PERSONAL NPI |
| 00A138592 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A138592 (California) | Primary |
| Provider Name | Javed Nisar Sadiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609194703 PECOS PAC ID: 3577857747 Enrollment ID: I20160810002193 |
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