Sadrunnisa Hameedi MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME042306 Issued in FL

Legal business name

SADRUNNISA HAMEEDI MD PA

Practice address

809 Deltona Blvd Ste a
Deltona, FL 32725-7103

Phone

(386) 574-9034

Fax

(386) 574-9095

NPI assigned

Jan 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sadrunnisa Hameedi, MDNPI 1154427474

Title

Owner

Phone

(386) 574-9034

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sadrunnisa S Hameedi, MD

  • Internal Medicine Physician
  • Deltona, FL
  • NPI 1154427474
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1851662548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257103",
            "telephone_number": "386-574-9034",
            "fax_number": "386-574-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257103",
            "telephone_number": "386-574-9034",
            "fax_number": "386-574-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADRUNNISA HAMEEDI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "HAMEEDI",
        "authorized_official_first_name": "SADRUNNISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-574-9034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME042306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052279100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "64510",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Rosario
• Michelle Ruefli, PTA
• Elizabeth Ruiz, CRPS
• Kristine Ann Rynn, PA
• S & M Carlyle Transportation LLC
• Safe Haven Peaceful Living
• Eduardo Salas, PTA
• Simin Salehi
• Andrea Tibisay Salinas Torra
• Saltzman, Tanis, Pittel, Levin and Jacobson, LLC

• Internal Medicine Physician in Deltona, FL
• Providers in Deltona, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.