Healthcare Provider Details

I. General information

NPI: 1073809224
Provider Name (Legal Business Name): KASHIF SAEED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 01/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

3315 S 23RD ST SUITE 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 TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number6376820
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number60621753
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number60621753
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: