Provider Demographics
NPI:1376722488
Name:SAID UDDIN MD PA
Entity Type:Organization
Organization Name:SAID UDDIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAID
Authorized Official - Middle Name:
Authorized Official - Last Name:UDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-897-9966
Mailing Address - Street 1:11301 FALLBROOK DR STE 120
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4269
Mailing Address - Country:US
Mailing Address - Phone:281-897-9966
Mailing Address - Fax:281-897-8806
Practice Address - Street 1:11301 FALLBROOK DR STE 120
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4269
Practice Address - Country:US
Practice Address - Phone:281-897-9966
Practice Address - Fax:281-897-8806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8542207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1205938867OtherNPI
TX00318UMedicare PIN
1205938867OtherNPI