Provider Demographics
NPI:1821757071
Name:SAQIB, SAIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIRA
Middle Name:
Last Name:SAQIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 COUNTY ROAD 210 W # 108-177
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32259-4058
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:904-372-6175
Practice Address - Street 1:6817 SOUTHPOINT PKWY STE 304
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6287
Practice Address - Country:US
Practice Address - Phone:904-296-3113
Practice Address - Fax:904-296-3144
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1083202084B0002X, 2084P0800X
NC2009003652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084B0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyObesity MedicineGroup - Multi-Specialty