Provider Demographics
NPI:1508250986
Name:SADIQ, OMAR (MD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:
Last Name:SADIQ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6707 POWERS BLVD.
Mailing Address - Street 2:SUITE 309 - MEDICAL ARTS CENTER II
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5466
Mailing Address - Country:US
Mailing Address - Phone:440-886-5558
Mailing Address - Fax:440-886-4540
Practice Address - Street 1:6707 POWERS BLVD
Practice Address - Street 2:MEDICAL ARTS CNTR 2 STE 309
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5455
Practice Address - Country:US
Practice Address - Phone:440-886-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301507267207RG0100X
OH35.145161207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology