Provider Demographics
NPI:1598844763
Name:SAEED, GHAZALA (DPT, CERT MDT)
Entity Type:Individual
Prefix:
First Name:GHAZALA
Middle Name:
Last Name:SAEED
Suffix:
Gender:F
Credentials:DPT, CERT MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69030
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-9030
Mailing Address - Country:US
Mailing Address - Phone:757-873-2302
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:2040 JOHN ROLFE PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-8111
Practice Address - Country:US
Practice Address - Phone:804-754-0916
Practice Address - Fax:804-754-0919
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0277051225100000X
VA2305206742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1598844763Medicaid
VA249822OtherBCBS (PHYSICAL THERAPY)
VAC05954Medicare PIN
VA1598844763Medicaid
NYQ29M61Medicare ID - Type Unspecified