Provider Demographics
NPI:1295390623
Name:SADIQ, USAMA (MD)
Entity Type:Individual
Prefix:
First Name:USAMA
Middle Name:
Last Name:SADIQ
Suffix:
Gender:M
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:ABINGTON MEMORIAL HOSPITAL, GME OFFICE
Mailing Address - Street 2:1200 OLD YORK ROAD
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3788
Mailing Address - Country:US
Mailing Address - Phone:215-481-2606
Mailing Address - Fax:215-481-3485
Practice Address - Street 1:ABINGTON MEMORIAL HOSPITAL, GME OFFICE
Practice Address - Street 2:1200 OLD YORK ROAD
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3788
Practice Address - Country:US
Practice Address - Phone:215-481-2606
Practice Address - Fax:215-481-3485
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD477536207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program