Organization
TELE HEALTH PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVEEN SAED (PROVIDER)
(443) 985-6253
Entity
Organization
Contact information
Practice address
9513 BLAKE LN APT 204, FAIRFAX, VA 22031-1716
(443) 985-6253
Mailing address
9513 BLAKE LN APT 204, FAIRFAX, VA 22031-1716
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058649751
—
CA
Enumeration date
01/11/2021
Last updated
01/11/2021
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