Provider Demographics
NPI:1578643466
Name:SHAHZAD, SAEED (MD)
Entity Type:Individual
Prefix:DR
First Name:SAEED
Middle Name:
Last Name:SHAHZAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 E MARION AVE
Mailing Address - Street 2:SUITE 129
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950
Mailing Address - Country:US
Mailing Address - Phone:941-833-1760
Mailing Address - Fax:941-205-3374
Practice Address - Street 1:713 E MARION AVE STE 121
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3862
Practice Address - Country:US
Practice Address - Phone:941-833-1760
Practice Address - Fax:941-205-3374
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012405292084N0400X
FLME1035922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1578643466Medicare PIN