Provider Demographics
NPI:1326159864
Name:SAIEDY, SAMER (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMER
Middle Name:
Last Name:SAIEDY
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 1:110 OLD PADONIA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-4949
Mailing Address - Country:US
Mailing Address - Phone:410-825-4530
Mailing Address - Fax:410-825-3787
Practice Address - Street 1:110 OLD PADONIA RD STE 101
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-4944
Practice Address - Country:US
Practice Address - Phone:410-825-4530
Practice Address - Fax:410-825-3787
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD54274174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD432600800Medicaid
MD570P169HMedicare PIN