Provider Demographics
NPI:1659342210
Name:KARIM, SADIQA (MD)
Entity Type:Individual
Prefix:
First Name:SADIQA
Middle Name:
Last Name:KARIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SADIQA
Other - Middle Name:
Other - Last Name:HUSSAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6343 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-1030
Mailing Address - Country:US
Mailing Address - Phone:716-683-1840
Mailing Address - Fax:716-683-6763
Practice Address - Street 1:6343 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-1030
Practice Address - Country:US
Practice Address - Phone:716-683-1840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01785304Medicaid
NY01785304Medicaid
NYCC7302Medicare ID - Type Unspecified