Provider Demographics
NPI:1376645481
Name:SADIQ, MUHAMAD (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:MUHAMAD
Middle Name:
Last Name:SADIQ
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 KNOLLCROFT ROAD
Mailing Address - Street 2:VA MEDICAL CENTER
Mailing Address - City:LYONS
Mailing Address - State:NY
Mailing Address - Zip Code:07939-5001
Mailing Address - Country:US
Mailing Address - Phone:190-864-7018
Mailing Address - Fax:190-860-4526
Practice Address - Street 1:151 KNOLLCROFT ROAD
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:LYONS
Practice Address - State:NY
Practice Address - Zip Code:07939-5001
Practice Address - Country:US
Practice Address - Phone:190-864-7018
Practice Address - Fax:190-860-4526
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist