=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386060168
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ST. CLAIR INFECTIOUS DISEASES PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2014
-----------------------------------------------------
Last Update Date | 03/17/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4050 RIVER RD STE 2
-----------------------------------------------------
City | EAST CHINA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48054-2931
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-329-2268
-----------------------------------------------------
Fax | 810-329-0966
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4050 RIVER RD STE 2
-----------------------------------------------------
City | EAST CHINA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48054-2931
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-329-2268
-----------------------------------------------------
Fax | 810-329-0966
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. SAJJAD SAEED
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 810-329-2268
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0200X
-----------------------------------------------------
Taxonomy Name | Infectious Disease Physician
-----------------------------------------------------
License Number | 4301074253
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------