Provider Demographics
NPI:1881946184
Name:JALAL SAIED, M.D. LLC
Entity type:Organization
Organization Name:JALAL SAIED, M.D. LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JALAL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAIED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-698-5050
Mailing Address - Street 1:PO BOX 1052
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-0052
Mailing Address - Country:US
Mailing Address - Phone:301-698-5050
Mailing Address - Fax:301-698-4652
Practice Address - Street 1:15 WEST 7TH STREET
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4501
Practice Address - Country:US
Practice Address - Phone:301-698-5050
Practice Address - Fax:301-698-4652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056184207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD118502100Medicaid
MD005752R99Medicare Oscar/Certification
MD189996Medicare PIN
MD118502100Medicaid
MD995752R99Medicare PIN