Healthcare Provider Details

I. General information

NPI: 1336870674
Provider Name (Legal Business Name): RULA M SAEED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 06/17/2022
Certification Date: 06/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 OLD YORK RD # PHI
PHILADELPHIA PA
19141-3018
US

IV. Provider business mailing address

5501 OLD YORK RD # PHI
PHILADELPHIA PA
19141-3018
US

V. Phone/Fax

Practice location:
  • Phone: 908-487-0746
  • Fax:
Mailing address:
  • Phone: 215-456-6013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMT225723
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: