Provider Demographics
NPI:1497770218
Name:GAD, MAHMOUD SAMI (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAHMOUD
Middle Name:SAMI
Last Name:GAD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 N BAYSHORE DR APT 3403
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-3232
Mailing Address - Country:US
Mailing Address - Phone:215-500-1423
Mailing Address - Fax:
Practice Address - Street 1:1800 N BAYSHORE DR APT 3403
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-3232
Practice Address - Country:US
Practice Address - Phone:215-500-1423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0157671223E0200X
OH30.0257811223E0200X
FLD199851223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics