Provider Demographics
NPI:1467235564
Name:BASHIR, SADIYAH
Entity Type:Individual
Prefix:
First Name:SADIYAH
Middle Name:
Last Name:BASHIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8911 TOWN CENTER CIR APT 201
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4780
Mailing Address - Country:US
Mailing Address - Phone:443-371-1647
Mailing Address - Fax:
Practice Address - Street 1:8911 TOWN CENTER CIR APT 201
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-4780
Practice Address - Country:US
Practice Address - Phone:443-371-1647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula