MEDICARE: IYAD S SAIDI MD. PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	0101059235	VA
2	207YX0602X	Otolaryngic Allergy Physician	0101059235	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00807167	OTHER	DC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164425500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IYAD S SAIDI MD. PHD

Provider Business Mailing Address
First Line	:	PO BOX 17334
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-1334
Country	:	US
Telephone Number	:	703-443-6717
Fax Number	:	703-443-8643

Provider Business Practice Location Address
First Line	:	6355 WALKER LN
Second Line	:	STE 308
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-3247
Country	:	US
Telephone Number	:	703-313-7700
Fax Number	:	703-313-6718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/29/2011

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Directions to “ IYAD S SAIDI MD. PHD” Practice Location

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