| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KHIREDIN FADIL SADIK | 1194392407 | 2021-06-06 |
Khiredin Fadil Sadik is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194392407. Registration indicates Khiredin Fadil Sadik is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Khiredin Fadil Sadik DO |
| Practice Office Address | 1120 15TH ST AUGUSTA, GA US |
| Practice Office Telephone | 6783610823 |
| Mailing Address | 1120 15TH ST AUGUSTA, GA 309120004 US |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 12835
GA |
| 193400000X SING | Group Code |