Basic Information
Provider Information
NPI: 1154397073
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAEED
FirstName: HANI
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: DPM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4700 E ILIFF AVE
Address2:  
City: DENVER
State: CO
PostalCode: 80222
CountryCode: US
TelephoneNumber: 3035848900
FaxNumber: 7205249475
Practice Location
Address1: 4700 E ILIFF AVE
Address2:  
City: DENVER
State: CO
PostalCode: 80222
CountryCode: US
TelephoneNumber: 3035848900
FaxNumber: 7205249475
Other Information
ProviderEnumerationDate: 02/28/2006
LastUpdateDate: 02/22/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213EP1101X623COY Podiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine

No ID Information.


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