Provider Demographics
NPI:1225083389
Name:HAFEEZ, SAJID (MD)
Entity Type:Individual
Prefix:
First Name:SAJID
Middle Name:
Last Name:HAFEEZ
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 1:2500 DISCOVERY DR
Mailing Address - Street 2:UNIVERSITY BEHAVIORAL CENTER
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-3709
Mailing Address - Country:US
Mailing Address - Phone:407-281-7000
Mailing Address - Fax:407-282-7012
Practice Address - Street 1:2500 DISCOVERY DR
Practice Address - Street 2:UNIVERSITY BEHAVIORAL CENTER
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-3709
Practice Address - Country:US
Practice Address - Phone:407-281-7000
Practice Address - Fax:407-282-7012
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2377962084P0800X, 2084P0804X
FLME957312084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278408400Medicaid
NY02778696Medicaid
NY02778696Medicaid
FL278408400Medicaid