Provider Demographics
NPI:1316059041
Name:SAEED, ATIF (MD)
Entity type:Individual
Prefix:
First Name:ATIF
Middle Name:
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 1:95 LEONARD AVE
Mailing Address - Street 2:SUITE 104 BLDG. 1
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3368
Mailing Address - Country:US
Mailing Address - Phone:724-206-9149
Mailing Address - Fax:724-206-9156
Practice Address - Street 1:95 LEONARD AVE
Practice Address - Street 2:SUITE 104 BLDG. 1
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3368
Practice Address - Country:US
Practice Address - Phone:724-206-9149
Practice Address - Fax:724-206-9156
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067218L207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017319210007Medicaid
PA023266LQ0Medicare PIN
PA0017319210007Medicaid