Provider Demographics
NPI:1578239349
Name:SADIQ, NADIA MOHAMMAD
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:MOHAMMAD
Last Name:SADIQ
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 1:10161 W GRAND PKWY S
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-8643
Mailing Address - Country:US
Mailing Address - Phone:832-612-5892
Mailing Address - Fax:
Practice Address - Street 1:10161 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8643
Practice Address - Country:US
Practice Address - Phone:832-612-5892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician