Provider Demographics
NPI:1588753008
Name:MIAN, SAEED AHMED (MD)
Entity type:Individual
Prefix:DR
First Name:SAEED
Middle Name:AHMED
Last Name:MIAN
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 1:545 LANSING AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1116
Mailing Address - Country:US
Mailing Address - Phone:517-787-4651
Mailing Address - Fax:517-787-4650
Practice Address - Street 1:545 LANSING AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1116
Practice Address - Country:US
Practice Address - Phone:517-787-4651
Practice Address - Fax:517-787-4650
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301040695174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF22552Medicare UPIN