Healthcare Provider Details

I. General information

NPI: 1104824861
Provider Name (Legal Business Name): SALEEM I SAIYAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13624 W HILLSBOROUGH AVE
TAMPA FL
33635-9638
US

IV. Provider business mailing address

3905 TAMPA RD UNIT 1189
OLDSMAR FL
34677-9750
US

V. Phone/Fax

Practice location:
  • Phone: 813-818-0100
  • Fax: 813-818-0144
Mailing address:
  • Phone: 813-507-5349
  • Fax: 813-818-0144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME88082
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME88082
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME88082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: