Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME103713 | FL |
N | 111NI0900X | Internist | ME103713 | FL |
N | 207RC0200X | Critical Care Medicine | ME103713 | FL |
Y | 207RP1001X | Pulmonary Disease | ME103713 | FL |
N | 207RS0012X | Sleep Medicine | ME103713 | FL |
NPI | 1073562450 |
---|---|
Provider Name | Dr. Sadiq Al Nakeeb |
First Address | Naples, FL 34119-3905 |
Second Address | Naples, FL 34119-3905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 09/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003816800 | (05) | FL |
2605845 | (05) | OH |
I39580 | (02) |