Provider Demographics
NPI:1093401937
Name:SADIQ, AYESHA (MD)
Entity Type:Individual
Prefix:
First Name:AYESHA
Middle Name:
Last Name:SADIQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST.FRANCIS MEDICAL CENTER
Mailing Address - Street 2:309 JACKSON STREET
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201
Mailing Address - Country:US
Mailing Address - Phone:318-966-7172
Mailing Address - Fax:318-966-4142
Practice Address - Street 1:ST.FRANCIS MEDICAL CENTER
Practice Address - Street 2:309 JACKSON STREET
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201
Practice Address - Country:US
Practice Address - Phone:318-966-7172
Practice Address - Fax:318-966-8788
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program