Provider Demographics
NPI:1740294024
Name:SAJJAD, NAEEM (MD)
Entity type:Individual
Prefix:
First Name:NAEEM
Middle Name:
Last Name:SAJJAD
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 1:3409 SPECTRUM BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-9713
Mailing Address - Country:US
Mailing Address - Phone:972-234-3355
Mailing Address - Fax:972-234-3358
Practice Address - Street 1:3409 SPECTRUM BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-9713
Practice Address - Country:US
Practice Address - Phone:972-234-3355
Practice Address - Fax:972-234-3358
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176864001Medicaid
TX8F1099Medicare ID - Type Unspecified
TX176864001Medicaid