Healthcare Provider Details

I. General information

NPI: 1255680997
Provider Name (Legal Business Name): SAIF A. ALENIZI M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2012
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 FRANCIS ST
BOSTON MA
02115
US

IV. Provider business mailing address

45 FRANCIS ST
BOSTON MA
02115-6105
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-6383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number279721
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: