Provider Demographics
NPI:1649995226
Name:ALEEM, SADAQAT
Entity type:Individual
Prefix:
First Name:SADAQAT
Middle Name:
Last Name:ALEEM
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 1:6600 PRESTON RD APT 2123
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2550
Mailing Address - Country:US
Mailing Address - Phone:214-287-1472
Mailing Address - Fax:
Practice Address - Street 1:1500 S DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3495
Practice Address - Country:US
Practice Address - Phone:692-042-0214
Practice Address - Fax:469-204-2036
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099404363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care