Healthcare Provider Details

I. General information

NPI: 1518221654
Provider Name (Legal Business Name): MUBASHIR SAEED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 12/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33155 ANNAPOLIS ST
WAYNE MI
48184-2405
US

IV. Provider business mailing address

36855 MCKINNEY AVE APT.203
WESTLAND MI
48185-1119
US

V. Phone/Fax

Practice location:
  • Phone: 734-467-2483
  • Fax:
Mailing address:
  • Phone: 630-807-9907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0361385948
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301101458
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: