Provider Demographics
NPI:1144752478
Name:YASSIN, SAIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIDA
Middle Name:
Last Name:YASSIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAIDA
Other - Middle Name:MOHAMMED
Other - Last Name:YASSIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-1275
Mailing Address - Fax:612-467-1776
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-1275
Practice Address - Fax:612-467-1776
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI81455207RG0300X, 207R00000X
MN28244390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program