Provider Demographics
NPI:1447224787
Name:SAYEED, SHOAB A (DO)
Entity Type:Individual
Prefix:
First Name:SHOAB
Middle Name:A
Last Name:SAYEED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 73RD ST
Mailing Address - Street 2:SUITE 33
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50312-1024
Mailing Address - Country:US
Mailing Address - Phone:515-223-4146
Mailing Address - Fax:515-223-1172
Practice Address - Street 1:974 73RD ST
Practice Address - Street 2:SUITE 33
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50312-1024
Practice Address - Country:US
Practice Address - Phone:515-223-4146
Practice Address - Fax:515-223-1172
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA02771208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA11782OtherBCBS
IA3518OtherMIDLANDS
IA0092916Medicaid
IAF56475Medicare UPIN