Healthcare Provider Details

I. General information

NPI: 1508821422
Provider Name (Legal Business Name): ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 S 23RD ST STE 200
TACOMA WA
98405-1616
US

IV. Provider business mailing address

3315 S 23RD ST STE 200
TACOMA WA
98405-1616
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-9994
  • Fax: 253-572-0468
Mailing address:
  • Phone: 253-272-9994
  • Fax: 253-572-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD00019442
License Number StateWA

VIII. Authorized Official

Name: DR. MOHAMMAD A SAEED
Title or Position: PRESIDENT
Credential: M.D., M.S.
Phone: 253-272-9994