Provider Demographics
NPI:1689360166
Name:AL-SADI, AMEERAH LYNN
Entity Type:Individual
Prefix:
First Name:AMEERAH
Middle Name:LYNN
Last Name:AL-SADI
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 1:8704 E 30TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74129-6665
Mailing Address - Country:US
Mailing Address - Phone:918-527-2174
Mailing Address - Fax:
Practice Address - Street 1:1901 W UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-3098
Practice Address - Country:US
Practice Address - Phone:580-920-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program