Provider Demographics
NPI:1033100318
Name:SADDA, RAID SAEED (DDS)
Entity Type:Individual
Prefix:MR
First Name:RAID
Middle Name:SAEED
Last Name:SADDA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40-36 82ND ST
Mailing Address - Street 2:OFFICE #5
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1369
Mailing Address - Country:US
Mailing Address - Phone:718-446-5775
Mailing Address - Fax:
Practice Address - Street 1:40-36 82ND ST
Practice Address - Street 2:OFFICE #5
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1369
Practice Address - Country:US
Practice Address - Phone:718-446-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048611122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02050420Medicaid