Provider Demographics
NPI:1790785814
Name:DAEE, SAID ABOLGHASSEM (MD)
Entity Type:Individual
Prefix:DR
First Name:SAID
Middle Name:ABOLGHASSEM
Last Name:DAEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3509
Mailing Address - Country:US
Mailing Address - Phone:301-220-0099
Mailing Address - Fax:301-220-0308
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 309
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3509
Practice Address - Country:US
Practice Address - Phone:301-220-0099
Practice Address - Fax:301-220-0308
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0023044208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC27200001OtherBLUE CROSS
077385Medicare ID - Type Unspecified
DC27200001OtherBLUE CROSS