Provider Demographics
NPI:1174702757
Name:HANEEF, SAADIA NOREEN (DO)
Entity type:Individual
Prefix:DR
First Name:SAADIA
Middle Name:NOREEN
Last Name:HANEEF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 SE WALTON BLVD.
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3725
Mailing Address - Country:US
Mailing Address - Phone:479-464-8081
Mailing Address - Fax:479-464-0674
Practice Address - Street 1:2003 SE WALTON BLVD.
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3725
Practice Address - Country:US
Practice Address - Phone:479-464-8081
Practice Address - Fax:479-464-0674
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ART2011-0732084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARFH2650857OtherDEA