MEDICARE: SAADA SEIDU MD

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	208600000X	Surgery Physician	35.128740	OH

General Provider Information

NPI Number	:	1316232861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAADA SEIDU MD

Provider Business Mailing Address
First Line	:	125 E BROAD ST STE 201
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-6429
Country	:	US
Telephone Number	:	440-328-3415
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 E BROAD ST STE 201
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-6429
Country	:	US
Telephone Number	:	440-328-3415
Fax Number	:

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

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	01/15/2021

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Directions to “ SAADA SEIDU MD” Practice Location

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