Provider Demographics
NPI:1225694169
Name:IRAM, SAIQA (MD)
Entity type:Individual
Prefix:
First Name:SAIQA
Middle Name:
Last Name:IRAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 GRAND BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-5725
Mailing Address - Country:US
Mailing Address - Phone:347-264-6436
Mailing Address - Fax:631-377-5727
Practice Address - Street 1:770 GRAND BLVD STE 10
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-5725
Practice Address - Country:US
Practice Address - Phone:347-264-6436
Practice Address - Fax:631-377-5727
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP11592207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine