Provider Demographics
NPI:1447274907
Name:NIAZI-SAI, ABDOLHAKIM (MD FACP FRCP C)
Entity type:Individual
Prefix:
First Name:ABDOLHAKIM
Middle Name:
Last Name:NIAZI-SAI
Suffix:
Gender:M
Credentials:MD FACP FRCP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 HALL STREET
Mailing Address - Street 2:
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170
Mailing Address - Country:US
Mailing Address - Phone:704-694-5159
Mailing Address - Fax:704-694-2003
Practice Address - Street 1:208 HALL STREET
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170
Practice Address - Country:US
Practice Address - Phone:704-694-5159
Practice Address - Fax:704-694-2003
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19810207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC01043OtherBCBS
NC7901043Medicaid
NC01043OtherBCBS
NC7901043Medicaid