# KODIAK PHYSIATRY CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235945700
- **Authorized official:** DR. BILAAL A SAIF DO (OWNER)
- **Authorized official phone:** (240) 291-0197

## Contact information

- **Practice address:** 141 S MAIN ST, BOONSBORO, MD 21713-1203
- **Practice address phone:** (301) 432-5457
- **Mailing address:** 5 PUBLIC SQ ST 301, \#604, HAGERSTOWN, MD 21740
- **Mailing address phone:** (240) 291-0197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2024
- **Last updated:** 01/27/2025