Healthcare Provider Details

I. General information

NPI: 1407275134
Provider Name (Legal Business Name): BABAR SAEED MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 05/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 UNIVERSITY ST
HEALDSBURG CA
95448-3382
US

IV. Provider business mailing address

4693 AMBRUZZI DR
CYPRESS CA
90630-3528
US

V. Phone/Fax

Practice location:
  • Phone: 302-367-4494
  • Fax:
Mailing address:
  • Phone: 302-637-4494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA126186
License Number StateCA

VIII. Authorized Official

Name: LORI LABRECQUE
Title or Position: ACCTS. MANAGER
Credential:
Phone: 702-453-3799