Provider Demographics
NPI:1871153494
Name:SADIQ ALI, M.D., PLLC
Entity type:Organization
Organization Name:SADIQ ALI, M.D., PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SADIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-234-9505
Mailing Address - Street 1:3440 FANNIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3842
Mailing Address - Country:US
Mailing Address - Phone:409-234-9505
Mailing Address - Fax:409-234-9507
Practice Address - Street 1:3440 FANNIN ST STE B
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3842
Practice Address - Country:US
Practice Address - Phone:409-234-9505
Practice Address - Fax:409-234-9507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty