Healthcare Provider Details

I. General information

NPI: 1922768902
Provider Name (Legal Business Name): FATHIYYA SAEED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2021
Last Update Date: 12/18/2021
Certification Date: 12/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 BUREAU DR
GAITHERSBURG MD
20878-1402
US

IV. Provider business mailing address

2022 AQUAMARINE TER
SILVER SPRING MD
20904-5362
US

V. Phone/Fax

Practice location:
  • Phone: 301-216-0911
  • Fax:
Mailing address:
  • Phone: 301-605-4929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number28357
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28357
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: