Provider Demographics
NPI:1790218568
Name:ALSABAGH, SAIED (MD)
Entity Type:Individual
Prefix:
First Name:SAIED
Middle Name:
Last Name:ALSABAGH
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 1:410 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5529
Mailing Address - Country:US
Mailing Address - Phone:305-827-2977
Mailing Address - Fax:305-692-0717
Practice Address - Street 1:410 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5529
Practice Address - Country:US
Practice Address - Phone:305-827-2977
Practice Address - Fax:305-692-0717
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2021-03-19
Deactivation Date:2017-11-09
Deactivation Code:
Reactivation Date:2017-11-21
Provider Licenses
StateLicense IDTaxonomies
FLME149437207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine