Healthcare Provider Details

I. General information

NPI: 1073137733
Provider Name (Legal Business Name): JAFAR ALSAID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2483
US

IV. Provider business mailing address

2009 BAYWOOD LN
DAVIS CA
95618-0500
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-3930
  • Fax: 504-842-3676
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA165695
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RH0005X
TaxonomyHypertension Specialist Physician
License NumberA165695
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number324610
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: