Provider Demographics
NPI:1639544687
Name:SAHID, SAHID MOHAMED
Entity Type:Individual
Prefix:DR
First Name:SAHID
Middle Name:MOHAMED
Last Name:SAHID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HIGH SCHOOL RD NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE IS
Mailing Address - State:WA
Mailing Address - Zip Code:98110-1608
Mailing Address - Country:US
Mailing Address - Phone:206-842-4065
Mailing Address - Fax:
Practice Address - Street 1:301 HIGH SCHOOL RD NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE IS
Practice Address - State:WA
Practice Address - Zip Code:98110-1608
Practice Address - Country:US
Practice Address - Phone:206-842-4065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03334632183500000X
WAPH61487751835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist