Provider Demographics
NPI:1164478616
Name:NAEEM, SAIMA (MD,)
Entity Type:Individual
Prefix:
First Name:SAIMA
Middle Name:
Last Name:NAEEM
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:SAIMA
Other - Middle Name:
Other - Last Name:MEMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 N ROCKTON AVE
Mailing Address - Street 2:ATT. CHRIS LABONTE, RMH-MED STAFF OFFICE
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-3655
Mailing Address - Country:US
Mailing Address - Phone:815-971-2000
Mailing Address - Fax:815-968-9340
Practice Address - Street 1:2400 N ROCKTON AVE
Practice Address - Street 2:RMH-ADULT HOSPITALIST SERVICES
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-3655
Practice Address - Country:US
Practice Address - Phone:815-971-5000
Practice Address - Fax:815-971-9299
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336-075755207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
R01976Medicare UPIN