Provider Demographics
NPI:1184227209
Name:SAAD, ANMAR
Entity Type:Individual
Prefix:
First Name:ANMAR
Middle Name:
Last Name:SAAD
Suffix:
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 1:2636 FULTON AVE STE 250B
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-5759
Mailing Address - Country:US
Mailing Address - Phone:916-450-9752
Mailing Address - Fax:
Practice Address - Street 1:2636 FULTON AVE STE 250B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5759
Practice Address - Country:US
Practice Address - Phone:916-450-9752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGNB32019-00063343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)