Provider Demographics
NPI:1932638723
Name:SADIK, WALEED
Entity Type:Individual
Prefix:
First Name:WALEED
Middle Name:
Last Name:SADIK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29158 LONGVIEW AVE APT 12
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2441
Mailing Address - Country:US
Mailing Address - Phone:586-707-1121
Mailing Address - Fax:
Practice Address - Street 1:29158 LONGVIEW AVE APT 12
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2441
Practice Address - Country:US
Practice Address - Phone:586-707-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide