Provider Demographics
NPI:1710164504
Name:SAMER SAIEDY, MD PA
Entity Type:Organization
Organization Name:SAMER SAIEDY, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-825-4530
Mailing Address - Street 1:110 OLD PADONIA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-4949
Mailing Address - Country:US
Mailing Address - Phone:443-761-6570
Mailing Address - Fax:410-825-3787
Practice Address - Street 1:110 OLD PADONIA RD STE 101
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-4944
Practice Address - Country:US
Practice Address - Phone:410-825-4530
Practice Address - Fax:410-825-3787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD54274174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD570PMedicare PIN