Provider Demographics
NPI:1619057262
Name:SAID, FARID H (MD)
Entity Type:Individual
Prefix:DR
First Name:FARID
Middle Name:H
Last Name:SAID
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 1:34 EXECUTIVE DRIVE
Mailing Address - Street 2:NORWALK
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857
Mailing Address - Country:US
Mailing Address - Phone:419-668-0680
Mailing Address - Fax:419-663-5808
Practice Address - Street 1:34 EXECUTIVE DRIVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857
Practice Address - Country:US
Practice Address - Phone:419-668-0680
Practice Address - Fax:419-663-5808
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH37732174400000X
OH35037732S208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0279149Medicaid
0405922Medicare PIN
OHA75055Medicare UPIN
OHSA0405922Medicare ID - Type Unspecified