MEDICARE: SALEEM SAIYAD LLC

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	261QM2500X	Medical Specialty Clinic/Center	ME88082	FL
2	207RI0011X	Interventional Cardiology Physician	ME88082	FL

General Provider Information

NPI Number	:	1417116195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALEEM SAIYAD LLC

Provider Business Mailing Address
First Line	:	3905 TAMPA RD UNIT 1189
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-9750
Country	:	US
Telephone Number	:	813-818-0100
Fax Number	:	813-818-0144

Provider Business Practice Location Address
First Line	:	13624 W HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-9638
Country	:	US
Telephone Number	:	813-818-0100
Fax Number	:	813-818-0144

Authorized Official
Title or Position	:	OWNER
Name	:	SALEEM SAIYAD
Credential	:	M.D.
Telephone Number	:	813-507-5349

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	01/19/2024

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Directions to “SALEEM SAIYAD LLC ” Practice Location

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