Sadiq, Shamim
Sadiq, Shamim is an individual health care provider with primary practice located at 1400 W Park St , Urbana IL 61801-2334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sadiq, Shamim can be contacted via phone (217) 337-2073.Contact Information
Primary practice address
1400 W Park St
Urbana IL 61801-2334
Phone: (217) 337-2073
Fax: (217) 366-6106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036112752 | Illinois |
Profile Details
| NPI number | 1801862461 |
|---|---|
| LBN Legal business name | Sadiq, Shamim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Dec 13th, 2011 - about 14 years ago |
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 | 1801862461 | NPPES |
| Illinois | MEDICAID | 036112752 | |
| Illinois | MEDICAID | 207528605 |
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