Provider Demographics
NPI:1700383049
Name:SAEED, SAEED AMIN
Entity Type:Individual
Prefix:
First Name:SAEED
Middle Name:AMIN
Last Name:SAEED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SAEED
Other - Middle Name:AMIN
Other - Last Name:SAEED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LOYAL LOCAL TRANSPOR
Mailing Address - Street 1:1110 PARK DR APT 3
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6979
Mailing Address - Country:US
Mailing Address - Phone:763-777-2838
Mailing Address - Fax:
Practice Address - Street 1:1517 CEDAR DR NE
Practice Address - Street 2:
Practice Address - City:EAST GRAND FORKS
Practice Address - State:MN
Practice Address - Zip Code:56721-3239
Practice Address - Country:US
Practice Address - Phone:763-777-2838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN82-5113162Medicaid