Provider Demographics
NPI:1376577254
Name:SAAD, WAEL ABDELGHANI (MD)
Entity Type:Individual
Prefix:
First Name:WAEL
Middle Name:ABDELGHANI
Last Name:SAAD
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 1:3621 SOUTH STATE ST
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:1500 EAST MEDICAL CENTER DR
Practice Address - Street 2:B1 FLOOR UNIVERSITY HOSPITAL RECP C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5030
Practice Address - Country:US
Practice Address - Phone:734-936-4566
Practice Address - Fax:734-764-4230
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2022-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011028622085R0202X, 2085R0204X
NY0022842085R0202X, 2085R0204X
VA01012444062085R0204X
UT12975502-12052085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYL02284-8WOtherWORKERS COMP
NY7739644OtherAETNA
NYP020002284OtherBLUE SHIELD
NYP010002284OtherBLUE CHOICE
VA1376577254Medicaid
NYMDH954OtherPREFERRED CARE
NY02649778Medicaid
VA1376577254Medicaid
NY7739644OtherAETNA