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NPI Code Detail

MEDICARE: EKRAM K. SAEED, DMD, PC

MEDICARE: EKRAM K. SAEED, DMD, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist019-023618IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11528289626OTHERILNPI

General Provider Information

NPI Number : 1487098075
Entity Type Code : Organization
Provider Name (Legal Business Name) : EKRAM K. SAEED, DMD, PC
Provider Business Mailing Address
First Line : 3020 CHARLES ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-1758
Country : US
Telephone Number : 815-399-5181
Fax Number : 815-399-1721
Provider Business Practice Location Address
First Line : 3020 CHARLES ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-1758
Country : US
Telephone Number : 815-399-5181
Fax Number : 815-399-1721
Authorized Official
Title or Position : DENTIST
Name : DR. EKRAM K SAEED
Credential : DMD, PC
Telephone Number : 815-399-5181
Provider Enumeration Date : 04/25/2013
Last Update Date : 04/25/2013

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