Healthcare Provider Details

I. General information

NPI: 1336246230
Provider Name (Legal Business Name): ABDUL FATTAH SAIDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 NW MYHRE RD FL 3
SILVERDALE WA
98383-7662
US

IV. Provider business mailing address

1950 NW MYHRE RD FL 3
SILVERDALE WA
98383-7662
US

V. Phone/Fax

Practice location:
  • Phone: 564-240-4200
  • Fax: 564-240-4299
Mailing address:
  • Phone: 564-240-4200
  • Fax: 564-240-4299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD60862283
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD60862283
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: