Basic Information
| Provider Information | |||||||||
| NPI: | 1598844763 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SAEED | ||||||||
| FirstName: | GHAZALA | ||||||||
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| Credential: | DPT, CERT MDT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 69030 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212649030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7578732302 | ||||||||
| FaxNumber: | 7578732306 | ||||||||
| Practice Location | |||||||||
| Address1: | 2040 JOHN ROLFE PKWY | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232388111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047540916 | ||||||||
| FaxNumber: | 8047540919 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2006 | ||||||||
| LastUpdateDate: | 04/30/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 0277051 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 2305206742 | VA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 1598844763 | 05 | VA | MEDICAID | 249822 | 01 | VA | BCBS (PHYSICAL THERAPY) | OTHER |