Provider Demographics
NPI:1023448305
Name:SAMER SAIEDY MD GB LLC
Entity type:Organization
Organization Name:SAMER SAIEDY MD GB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIEDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-825-4530
Mailing Address - Street 1:1212 YORK RD
Mailing Address - Street 2:SUITE B201
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6240
Mailing Address - Country:US
Mailing Address - Phone:410-825-4530
Mailing Address - Fax:410-825-3787
Practice Address - Street 1:1811 CRAIN HWY S
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5561
Practice Address - Country:US
Practice Address - Phone:443-761-6630
Practice Address - Fax:470-768-1571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty