Provider Demographics
NPI:1508369323
Name:UDDIN, ASIF SAEED (MD)
Entity type:Individual
Prefix:DR
First Name:ASIF
Middle Name:SAEED
Last Name:UDDIN
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 1:7139 RED BUG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8021
Mailing Address - Country:US
Mailing Address - Phone:407-699-6009
Mailing Address - Fax:407-699-6008
Practice Address - Street 1:7139 RED BUG LAKE RD
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8021
Practice Address - Country:US
Practice Address - Phone:407-699-6009
Practice Address - Fax:407-699-6008
Is Sole Proprietor?:No
Enumeration Date:2018-03-18
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME150522207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program