Healthcare Provider Details

I. General information

NPI: 1063945103
Provider Name (Legal Business Name): LYLA SAEED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 W 110TH ST STE 120
OVERLAND PARK KS
66211-1215
US

IV. Provider business mailing address

5100 W 110TH ST STE 120
OVERLAND PARK KS
66211-1215
US

V. Phone/Fax

Practice location:
  • Phone: 913-234-7600
  • Fax: 816-361-5775
Mailing address:
  • Phone: 913-234-7600
  • Fax: 816-361-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number04-49167
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number01090618A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2023022092
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01090618A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberCDR.0002877
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: