Provider Demographics
NPI:1407829955
Name:SAEED, QAISRA YASMIN (MD)
Entity Type:Individual
Prefix:MRS
First Name:QAISRA
Middle Name:YASMIN
Last Name:SAEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HEMLOCK ROAD
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078
Mailing Address - Country:US
Mailing Address - Phone:973-218-6000
Mailing Address - Fax:973-679-8636
Practice Address - Street 1:116 MILLBURN AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1919
Practice Address - Country:US
Practice Address - Phone:973-218-6000
Practice Address - Fax:973-679-8636
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMN069904207RC0000X
NJ25MA06990400207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0021016Medicaid
NJ0021016Medicaid
NJG76730Medicare UPIN