Provider Demographics
NPI:1457331969
Name:SAAD, HANI M (MD)
Entity Type:Individual
Prefix:DR
First Name:HANI
Middle Name:M
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 1:677 KINLOCH ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3753
Mailing Address - Country:US
Mailing Address - Phone:313-715-5555
Mailing Address - Fax:
Practice Address - Street 1:20755 GREENFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5400
Practice Address - Country:US
Practice Address - Phone:313-407-1545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.134794207R00000X
MI4301080553207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM95480Medicare ID - Type Unspecified
MII41087Medicare UPIN
MIOM95480Medicare ID - Type Unspecified
MI0N40170Medicare PIN