Healthcare Provider Details
I. General information
NPI: 1518342013
Provider Name (Legal Business Name): MAKRAM SULIMAN SAIED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/25/2015
Last Update Date: 11/29/2021
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2615 CHESTER AVE
BAKERSFIELD CA
93301-2014
US
IV. Provider business mailing address
5055 CALIFORNIA AVE STE 300
BAKERSFIELD CA
93309-0712
US
V. Phone/Fax
- Phone: 661-666-7367
- Fax:
- Phone: 661-334-2009
- Fax: 877-744-2842
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | A152051 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: