Provider Demographics
NPI:1134818552
Name:SAEED, KHALID AZHARI MOHAMED
Entity type:Individual
Prefix:
First Name:KHALID
Middle Name:AZHARI MOHAMED
Last Name:SAEED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9393 E PALO BREA BND APT 3016
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6516
Mailing Address - Country:US
Mailing Address - Phone:319-471-7371
Mailing Address - Fax:
Practice Address - Street 1:9393 E PALO BREA BND APT 3016
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6516
Practice Address - Country:US
Practice Address - Phone:319-471-7371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)