Provider Demographics
NPI:1962472696
Name:SAIDI, FIRAS A (MD)
Entity Type:Individual
Prefix:
First Name:FIRAS
Middle Name:A
Last Name:SAIDI
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 1:26 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-5441
Mailing Address - Country:US
Mailing Address - Phone:844-514-3744
Mailing Address - Fax:848-486-1388
Practice Address - Street 1:26 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-5441
Practice Address - Country:US
Practice Address - Phone:844-514-3744
Practice Address - Fax:848-486-1388
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423203207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232359401OtherMAIN LINE HEALTHCARE
PA232359401OtherMAIN LINE HEALTHCARE
PA101076178Medicaid
I05748Medicare UPIN