Healthcare Provider Details

I. General information

NPI: 1346318334
Provider Name (Legal Business Name): MEHDI M SAEEDI MC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONNECTICUT VALLEY HOSPITAL
MIDDLETOWN CT
06457
US

IV. Provider business mailing address

CONNECTICUT VALLEY HOSPITAL PO BOX 351 SILVER STREET
MIDDLETOWN CT
06457
US

V. Phone/Fax

Practice location:
  • Phone: 860-262-5867
  • Fax: 860-262-5850
Mailing address:
  • Phone: 860-262-5867
  • Fax: 860-262-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number021521
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: