Provider Demographics
NPI:1215046586
Name:SAEED, OSMAN M (MD)
Entity type:Individual
Prefix:
First Name:OSMAN
Middle Name:M
Last Name:SAEED
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 1:10205 SPRINGHURST GARDENS CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-5194
Mailing Address - Country:US
Mailing Address - Phone:502-412-8798
Mailing Address - Fax:
Practice Address - Street 1:102 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9421
Practice Address - Country:US
Practice Address - Phone:606-439-7998
Practice Address - Fax:606-439-6701
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY392992084P0800X
IN01063319A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3732449000OtherPASSPORT
KYCK2274OtherRR MEDICARE GROUP
KY64100142Medicaid
KY2444451000OtherPASSPORT GROUP
KY6764OtherMEDICARE GROUP
KYP00716878OtherRR MEDICARE
KY676469Medicare PIN
KY64100142Medicaid
KY676469Medicare PIN
INCG3623OtherRR MEDICARE GROUP
50704000OtherMAGELLAN MIS GROUP
000000056294OtherANTHEM GROUP
KYP00716878OtherRR MEDICARE
KYCK2274OtherRR MEDICARE GROUP
IN100386460OtherMEDICAID GROUP
IN200950710AMedicaid
KY64100142Medicaid