Provider Demographics
NPI:1023169463
Name:AHMAD, SAIYAD SALAHUDDIN (LAC)
Entity type:Individual
Prefix:
First Name:SAIYAD
Middle Name:SALAHUDDIN
Last Name:AHMAD
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13520 T I BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1563
Mailing Address - Country:US
Mailing Address - Phone:214-718-7646
Mailing Address - Fax:972-671-1158
Practice Address - Street 1:13520 T I BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1420
Practice Address - Country:US
Practice Address - Phone:214-718-7646
Practice Address - Fax:972-671-1158
Is Sole Proprietor?:No
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00653171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist