Provider Demographics
NPI:1962783894
Name:SHAMA BEGUM SAIYED, MD PC
Entity type:Organization
Organization Name:SHAMA BEGUM SAIYED, MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD PC
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMA
Authorized Official - Middle Name:BEGUM
Authorized Official - Last Name:SAIYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-398-8159
Mailing Address - Street 1:5631 BARNSLEY PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-3429
Mailing Address - Country:US
Mailing Address - Phone:804-398-8159
Mailing Address - Fax:
Practice Address - Street 1:12801 IRON BRIDGE RD
Practice Address - Street 2:SUITE #400
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1669
Practice Address - Country:US
Practice Address - Phone:804-768-0295
Practice Address - Fax:804-768-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242372261QM0850X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1841409588Medicaid
VA1841409588Medicaid