Provider Demographics
NPI:1083269658
Name:SAGHIR, SYED REHAN
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:REHAN
Last Name:SAGHIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 BROKER LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-8509
Mailing Address - Country:US
Mailing Address - Phone:571-229-0778
Mailing Address - Fax:
Practice Address - Street 1:3302 BROKER LN
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-8509
Practice Address - Country:US
Practice Address - Phone:571-229-0778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor