Provider Demographics
NPI:1215082185
Name:SADAT, ABDUL HAKIM (PA)
Entity type:Individual
Prefix:MR
First Name:ABDUL
Middle Name:HAKIM
Last Name:SADAT
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1034 BRAGG ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-3846
Mailing Address - Country:US
Mailing Address - Phone:919-733-4340
Mailing Address - Fax:919-733-1503
Practice Address - Street 1:1034 BRAGG ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-3846
Practice Address - Country:US
Practice Address - Phone:919-733-4340
Practice Address - Fax:919-733-1503
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC101220363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant