Provider Demographics
NPI:1679270375
Name:EGAL, SADIA OSMAN
Entity Type:Individual
Prefix:MRS
First Name:SADIA
Middle Name:OSMAN
Last Name:EGAL
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 1:18189 GLENBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-2011
Mailing Address - Country:US
Mailing Address - Phone:612-701-9410
Mailing Address - Fax:
Practice Address - Street 1:18189 GLENBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-2011
Practice Address - Country:US
Practice Address - Phone:612-701-9410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care