Healthcare Provider Details

I. General information

NPI: 1780905513
Provider Name (Legal Business Name): SAEED AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6621 FANNIN ST CC1210
HOUSTON TX
77030-2303
US

IV. Provider business mailing address

6621 FANNIN ST CC1210
HOUSTON TX
77030-2303
US

V. Phone/Fax

Practice location:
  • Phone: 832-822-1038
  • Fax: 832-825-1281
Mailing address:
  • Phone: 832-822-1038
  • Fax: 832-825-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number240194
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: