Sadiq, Mohamed Habibulla
Sadiq, Mohamed Habibulla is an individual health care provider with primary practice located at 2121 N 1700 W , Layton UT 84041-8803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Sadiq, Mohamed Habibulla can be contacted via phone (801) 773-4840.Contact Information
Primary practice address
2121 N 1700 W
Layton UT 84041-8803
Phone: (801) 773-4840
Fax: (801) 525-8151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 4966884-1205 | Utah |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4966884-1205 | Utah |
Profile Details
| NPI number | 1164410403 |
|---|---|
| LBN Legal business name | Sadiq, Mohamed Habibulla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | May 7th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164410403 | NPPES |
| Utah | MEDICAID | 77861239003 |
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