Provider Demographics
NPI:1710024229
Name:HAMEED, SAJID (PT)
Entity Type:Individual
Prefix:MR
First Name:SAJID
Middle Name:
Last Name:HAMEED
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:FORTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46040-1007
Mailing Address - Country:US
Mailing Address - Phone:317-997-9918
Mailing Address - Fax:317-622-2971
Practice Address - Street 1:800 CENTER ST
Practice Address - Street 2:
Practice Address - City:FORTVILLE
Practice Address - State:IN
Practice Address - Zip Code:46040-1007
Practice Address - Country:US
Practice Address - Phone:317-997-9918
Practice Address - Fax:317-622-2971
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003837A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist