Healthcare Provider Details

I. General information

NPI: 1669166807
Provider Name (Legal Business Name): SAED NAYEL DAOUD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 N RENAISSANCE BLVD NE
ALBUQUERQUE NM
87107-6827
US

IV. Provider business mailing address

2205 AMBASSADOR RD NE APT 129
ALBUQUERQUE NM
87112-2746
US

V. Phone/Fax

Practice location:
  • Phone: 505-243-3387
  • Fax:
Mailing address:
  • Phone: 442-247-2808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number70664
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: