Organization
LAKEVIEW NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED SADIQ MD (PRESIDENT)
(801) 298-4112
Entity
Organization
Contact information
Practice address
620 MEDICAL DR, SUITE 150, BOUNTIFUL, UT 84010-5084
(801) 298-4112
(801) 298-5397
Mailing address
PO BOX 71425, SALT LAKE CITY, UT 84171-0425
(801) 942-2729
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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