Healthcare Provider Details

I. General information

NPI: 1962783894
Provider Name (Legal Business Name): SHAMA BEGUM SAIYED, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2011
Last Update Date: 09/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12801 IRON BRIDGE RD SUITE #400
CHESTER VA
23831-1669
US

IV. Provider business mailing address

5631 BARNSLEY PL
GLEN ALLEN VA
23059-3429
US

V. Phone/Fax

Practice location:
  • Phone: 804-768-0295
  • Fax: 804-768-8001
Mailing address:
  • Phone: 804-398-8159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number0101242372
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0101242372
License Number StateVA

VIII. Authorized Official

Name: DR. SHAMA BEGUM SAIYED
Title or Position: MD PC
Credential: MD
Phone: 804-398-8159