Provider Demographics
NPI:1225559792
Name:SAAD, MOHAMMED (MBBS)
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:
Last Name:SAAD
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3851 KESSLER BOULEVARD NORTH DR APT 2022
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-3302
Mailing Address - Country:US
Mailing Address - Phone:317-935-2844
Mailing Address - Fax:
Practice Address - Street 1:350 W 11TH ST DEPT OF
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-4108
Practice Address - Country:US
Practice Address - Phone:317-274-2476
Practice Address - Fax:317-274-2476
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11019667390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program