Basic Information
Provider Information
NPI: 1013362052
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAAD
FirstName: AMIRA
MiddleName: OMAYYA
NamePrefix: DR.
NameSuffix:  
Credential: D.O
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14300 ORCHARD PKWY
Address2:  
City: WESTMINSTER
State: CO
PostalCode: 800239206
CountryCode: US
TelephoneNumber: 3034305560
FaxNumber:  
Practice Location
Address1: 14300 ORCHARD PKWY
Address2:  
City: WESTMINSTER
State: CO
PostalCode: 80023
CountryCode: US
TelephoneNumber: 3034305560
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/27/2016
LastUpdateDate: 07/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XTL0006098CON Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XDR.0059718COY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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