Provider Demographics
NPI:1912153115
Name:ALI, SADIA ANEES (MD)
Entity Type:Individual
Prefix:DR
First Name:SADIA
Middle Name:ANEES
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:855-737-0591
Practice Address - Street 1:11460 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-4128
Practice Address - Country:US
Practice Address - Phone:954-433-4200
Practice Address - Fax:855-737-0591
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR9026207Q00000X
FLME143957207QA0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine