Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 227921 | MA |
Y | 204F00000X | Transplant Surgeon | 302040 | NY |
N | 204F00000X | Transplant Surgeon | MD14437 | RI |
NPI | 1770515215 |
---|---|
Provider Name | Reza F Saidi |
First Address | Syracuse, NY 13212-4516 |
Second Address | Syracuse, NY 13210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 29/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110084155A | (05) | MA |