Provider Demographics
NPI:1780609602
Name:ASFA, SAIED (MD)
Entity type:Individual
Prefix:
First Name:SAIED
Middle Name:
Last Name:ASFA
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 1:3302 ALBERT LONG DR
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-2473
Mailing Address - Country:US
Mailing Address - Phone:540-432-0303
Mailing Address - Fax:540-432-9966
Practice Address - Street 1:3302 ALBERT LONG DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-2473
Practice Address - Country:US
Practice Address - Phone:540-432-0303
Practice Address - Fax:540-432-9966
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD000646892086S0122X
VA01012442692086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDO255Medicare PIN