Provider Demographics
NPI:1144522178
Name:SADAT, NEDA (DPM)
Entity type:Individual
Prefix:
First Name:NEDA
Middle Name:
Last Name:SADAT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:
Other - Last Name:SADAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:3619 NE 207TH ST
Mailing Address - Street 2:APT 2207
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4705
Mailing Address - Country:US
Mailing Address - Phone:305-359-1132
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:PHYSICIAN SERVICES EAST TOWER FIRST FLOOR ROOM 1004
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-359-1132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program