Provider Demographics
NPI:1619065968
Name:SAEED, NIALA (PA-C)
Entity Type:Individual
Prefix:
First Name:NIALA
Middle Name:
Last Name:SAEED
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NIALA
Other - Middle Name:
Other - Last Name:GHALIB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3755 BEACON AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1411
Mailing Address - Country:US
Mailing Address - Phone:510-796-7796
Mailing Address - Fax:510-796-7797
Practice Address - Street 1:3755 BEACON AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1411
Practice Address - Country:US
Practice Address - Phone:510-796-7796
Practice Address - Fax:510-796-7797
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2015-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002388363A00000X
CAPA22063363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant