Provider Demographics
NPI:1780671255
Name:BAKEER, MOHAMMED SAID (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:SAID
Last Name:BAKEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 FEDERAL DR
Mailing Address - Street 2:PO BOX 188
Mailing Address - City:SELMER
Mailing Address - State:TN
Mailing Address - Zip Code:38375-1876
Mailing Address - Country:US
Mailing Address - Phone:731-645-7952
Mailing Address - Fax:731-645-8898
Practice Address - Street 1:714 FEDERAL DR
Practice Address - Street 2:
Practice Address - City:SELMER
Practice Address - State:TN
Practice Address - Zip Code:38375-1876
Practice Address - Country:US
Practice Address - Phone:731-645-7952
Practice Address - Fax:731-645-8898
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15732174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3010022Medicaid
TN3010022Medicaid
TNA97424Medicare UPIN