Provider Demographics
NPI:1003419607
Name:SAAD, ABDULKADIR AHMED I
Entity Type:Individual
Prefix:MR
First Name:ABDULKADIR
Middle Name:AHMED
Last Name:SAAD
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4404 9TH AVENUE CIR S APT 305
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-7019
Mailing Address - Country:US
Mailing Address - Phone:701-793-7048
Mailing Address - Fax:
Practice Address - Street 1:1440 34TH ST S APT 207
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6314
Practice Address - Country:US
Practice Address - Phone:701-793-7048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1453432253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care