Provider Demographics
NPI:1740844414
Name:HAQ, SADIA SAYED (PA-C)
Entity type:Individual
Prefix:MISS
First Name:SADIA
Middle Name:SAYED
Last Name:HAQ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25023 SPRINGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1952
Mailing Address - Country:US
Mailing Address - Phone:248-687-9205
Mailing Address - Fax:
Practice Address - Street 1:25023 SPRINGBROOK DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1952
Practice Address - Country:US
Practice Address - Phone:248-687-9205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-27
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601009072363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical