Provider Demographics
NPI:1174702757
Name:HANEEF, SAADIA (DO)
Entity type:Individual
Prefix:DR
First Name:SAADIA
Middle Name:
Last Name:HANEEF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N 20TH PL STE 1
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3571
Mailing Address - Country:US
Mailing Address - Phone:870-204-5640
Mailing Address - Fax:870-204-5306
Practice Address - Street 1:805 N 20TH PL STE 1
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3571
Practice Address - Country:US
Practice Address - Phone:870-204-5640
Practice Address - Fax:870-204-5306
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-71612084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARFH2650857OtherDEA