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NPI Code Detail

MEDICARE: SAIF MEMON

MEDICARE: SAIF MEMON
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMD

General Provider Information

NPI Number : 1417716465
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAIF MEMON
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-955-5000
Fax Number : 410-500-4266
Provider Business Practice Location Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2024
Last Update Date : 06/22/2026

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Directions to “ SAIF MEMON ” Practice Location

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