Provider Demographics
NPI:1124188081
Name:SAEED, MOHAMMED MUSADIQ (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:MUSADIQ
Last Name:SAEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 WEST FULLERTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101
Mailing Address - Country:US
Mailing Address - Phone:630-543-5454
Mailing Address - Fax:630-543-5471
Practice Address - Street 1:276 WEST FULLERTON AVENUE
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101
Practice Address - Country:US
Practice Address - Phone:630-543-5454
Practice Address - Fax:630-543-5471
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036067984207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2201549OtherBLUE CROSS BLUE SHIELD
IL036067984Medicaid
2201549OtherBLUE CROSS BLUE SHIELD
K13479Medicare ID - Type Unspecified