Provider Demographics
NPI:1124000443
Name:ISMAIL, SAAD U (MD)
Entity Type:Individual
Prefix:
First Name:SAAD
Middle Name:U
Last Name:ISMAIL
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 1:975 SERENO DR
Mailing Address - Street 2:HOSPITAL BASED SPECIALIST
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589
Mailing Address - Country:US
Mailing Address - Phone:707-651-2440
Mailing Address - Fax:707-651-2522
Practice Address - Street 1:1400 LOCUST ST
Practice Address - Street 2:MERCY HOSPITALIST GROUP
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5114
Practice Address - Country:US
Practice Address - Phone:412-232-5546
Practice Address - Fax:412-232-5548
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427239174400000X
CAA107455174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA093715EVQMedicare ID - Type Unspecified
PAI38464Medicare UPIN