Provider Demographics
NPI:1609194703
Name:SADIQ, JAVED NISAR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVED
Middle Name:NISAR
Last Name:SADIQ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2621 S BRISTOL ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5718
Mailing Address - Country:US
Mailing Address - Phone:657-900-4536
Mailing Address - Fax:657-208-9732
Practice Address - Street 1:2621 S BRISTOL ST STE 202
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5718
Practice Address - Country:US
Practice Address - Phone:657-900-4536
Practice Address - Fax:657-208-9732
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA138592207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology