Healthcare Provider Details

I. General information

NPI: 1801825500
Provider Name (Legal Business Name): MUHAMMAD W SAJID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MUHAMMAD WASIM SAJID

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 918025
ORLANDO FL
32891-8025
US

V. Phone/Fax

Practice location:
  • Phone: 352-392-8373
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME82576
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: