Provider Demographics
NPI:1780919118
Name:ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS
Entity type:Organization
Organization Name:ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-272-9994
Mailing Address - Street 1:2201 S 19TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2962
Mailing Address - Country:US
Mailing Address - Phone:253-272-9994
Mailing Address - Fax:253-572-0468
Practice Address - Street 1:34617 11TH PL S
Practice Address - Street 2:SUITE 101
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8706
Practice Address - Country:US
Practice Address - Phone:253-927-8008
Practice Address - Fax:253-572-0468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty