Provider Demographics
NPI:1427342674
Name:ALI, SADIQ (MD)
Entity type:Individual
Prefix:DR
First Name:SADIQ
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Practice Address - Country:US
Practice Address - Phone:409-234-9505
Practice Address - Fax:409-234-9507
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7128207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology