Basic Information
Provider Information
NPI: 1568673226
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAIM
FirstName: MUHAMMAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1420 VICEROY DR
Address2:  
City: DALLAS
State: TX
PostalCode: 752352208
CountryCode: US
TelephoneNumber: 2143582300
FaxNumber: 2143666127
Practice Location
Address1: 3604 LIVE OAK ST
Address2: SUITE 100
City: DALLAS
State: TX
PostalCode: 752046168
CountryCode: US
TelephoneNumber: 2143282300
FaxNumber: 2143666330
Other Information
ProviderEnumerationDate: 05/24/2007
LastUpdateDate: 01/03/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD 038025DCN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD432656PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XN9291TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X0116023355VAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RN0300XN9291TXY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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