Healthcare Provider Details

I. General information

NPI: 1255762399
Provider Name (Legal Business Name): AMERICAN PSYCHIATRIC GROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 11/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8640 GUILFORD RD SUITE 251
COLUMBIA MD
21046-2655
US

IV. Provider business mailing address

8640 GUILFORD RD SUITE 251
COLUMBIA MD
21046-2655
US

V. Phone/Fax

Practice location:
  • Phone: 410-446-5461
  • Fax:
Mailing address:
  • Phone: 410-446-5461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberD0062661
License Number StateMD

VIII. Authorized Official

Name: DR. IRFAN SAEED
Title or Position: CEO
Credential: MD
Phone: 410-446-5461