Provider Demographics
NPI:1417116195
Name:SALEEM SAIYAD LLC
Entity Type:Organization
Organization Name:SALEEM SAIYAD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIYAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-507-5349
Mailing Address - Street 1:3905 TAMPA RD UNIT 1189
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-9750
Mailing Address - Country:US
Mailing Address - Phone:813-818-0100
Mailing Address - Fax:813-818-0144
Practice Address - Street 1:13624 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-9638
Practice Address - Country:US
Practice Address - Phone:813-818-0100
Practice Address - Fax:813-818-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88082207RI0011X, 261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H92582Medicare UPIN