Basic Information
| Provider Information | |||||||||
| NPI: | 1417105420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAIYED-JAVED | ||||||||
| FirstName: | MUDDASSER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | SAIYED JAVED | ||||||||
| OtherFirstName: | MUDDASSER | ||||||||
| OtherMiddleName: | |||||||||
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| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 18001 E 10 MILE RD | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | ROSEVILLE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480663803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5862185880 | ||||||||
| FaxNumber: | 5862185808 | ||||||||
| Practice Location | |||||||||
| Address1: | 18001 E 10 MILE RD | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | ROSEVILLE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48066 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5862185880 | ||||||||
| FaxNumber: | 5862185808 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2008 | ||||||||
| LastUpdateDate: | 05/21/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301091689 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | 4301091689 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.