1376841122 NPI number — MS. SAYEEDA HYDER RD,LD/N

Table of content: MS. SAYEEDA HYDER RD,LD/N (NPI 1376841122)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376841122 NPI number — MS. SAYEEDA HYDER RD,LD/N

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HYDER
Provider First Name:
SAYEEDA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RD,LD/N
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:
1376841122
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 400
Provider Second Line Business Mailing Address:
SOLDIER CREEK ROAD ROSEBUD INDIAN HEALTH SERVICE
Provider Business Mailing Address City Name:
ROSEBUD
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57570-0400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-747-3261
Provider Business Mailing Address Fax Number:
605-747-5348

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 SOLDIER CREEK ROAD
Provider Second Line Business Practice Location Address:
ROSEBUD INDIAN HEALTH SERVICE
Provider Business Practice Location Address City Name:
ROSEBUD
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57570-0400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-747-3261
Provider Business Practice Location Address Fax Number:
605-747-5348
Provider Enumeration Date:
03/03/2011

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: 133V00000X , with the licence number:  ND4296 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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