Provider Demographics
NPI:1417105420
Name:SAIYED-JAVED, MUDDASSER (MD)
Entity Type:Individual
Prefix:DR
First Name:MUDDASSER
Middle Name:
Last Name:SAIYED-JAVED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MUDDASSER
Other - Middle Name:
Other - Last Name:SAIYED JAVED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18001 E 10 MILE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-3803
Mailing Address - Country:US
Mailing Address - Phone:586-218-5880
Mailing Address - Fax:586-218-5808
Practice Address - Street 1:18001 E 10 MILE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066
Practice Address - Country:US
Practice Address - Phone:586-218-5880
Practice Address - Fax:586-218-5808
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301091689207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine