Provider Demographics
NPI:1578648002
Name:JAMSHIDI, SAIED (MD)
Entity type:Individual
Prefix:
First Name:SAIED
Middle Name:
Last Name:JAMSHIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6228 OXON HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3033
Mailing Address - Country:US
Mailing Address - Phone:301-567-1800
Mailing Address - Fax:301-567-3960
Practice Address - Street 1:6228 OXON HILL RD
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3033
Practice Address - Country:US
Practice Address - Phone:301-567-1800
Practice Address - Fax:301-567-3960
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD29224207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC068822Medicare PIN
MDB93104Medicare UPIN