Basic Information
Provider Information
NPI: 1588224232
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SADEK
FirstName: AHMED
MiddleName: ASHRAF
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1955 1ST AVE APT 304
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296440
CountryCode: US
TelephoneNumber: 6082153923
FaxNumber:  
Practice Location
Address1: 1901 1ST AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100297491
CountryCode: US
TelephoneNumber: 2124236262
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/15/2019
LastUpdateDate: 06/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XNANYY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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