1477792133 NPI number — DR. REEM SAAD SALAHUDDIN BDS, MS

Table of content: DR. REEM SAAD SALAHUDDIN BDS, MS (NPI 1477792133)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477792133 NPI number — DR. REEM SAAD SALAHUDDIN BDS, MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALAHUDDIN
Provider First Name:
REEM
Provider Middle Name:
SAAD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
BDS, MS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477792133
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9950 WOODLANDS PKWY
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77382-2930
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-292-1220
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9950 WOODLANDS PKWY
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77382-2930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-292-1220
Provider Business Practice Location Address Fax Number:
281-292-2822
Provider Enumeration Date:
02/19/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  0024422 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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