Provider Demographics
NPI:1801093687
Name:SOUTH AREA PEDIATRIC MEDICAL GROUP
Entity type:Organization
Organization Name:SOUTH AREA PEDIATRIC MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-394-2580
Mailing Address - Street 1:3811 FLORIN RD STE 16
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-1822
Mailing Address - Country:US
Mailing Address - Phone:916-394-2580
Mailing Address - Fax:916-424-8302
Practice Address - Street 1:3811 FLORIN RD STE 16
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-1822
Practice Address - Country:US
Practice Address - Phone:916-394-2580
Practice Address - Fax:916-424-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty