Provider Demographics
NPI:1083926745
Name:SAOUD, RANI M (MD)
Entity Type:Individual
Prefix:DR
First Name:RANI
Middle Name:M
Last Name:SAOUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1596
Mailing Address - Country:US
Mailing Address - Phone:608-417-6000
Mailing Address - Fax:608-417-3878
Practice Address - Street 1:202 S PARK ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1596
Practice Address - Country:US
Practice Address - Phone:608-417-5695
Practice Address - Fax:608-417-5890
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60279-20208M00000X
WI60279207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1083926745Medicaid
WI1083926745Medicaid