Provider Demographics
NPI:1538307517
Name:NARIMAN SADDAD MD INC
Entity Type:Organization
Organization Name:NARIMAN SADDAD MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NARIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SADDAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-476-5289
Mailing Address - Street 1:1440 VETERAN AVE
Mailing Address - Street 2:SUITE 234
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4838
Mailing Address - Country:US
Mailing Address - Phone:973-476-5289
Mailing Address - Fax:951-304-3653
Practice Address - Street 1:1440 VETERAN AVE
Practice Address - Street 2:SUITE 234
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4838
Practice Address - Country:US
Practice Address - Phone:973-476-5289
Practice Address - Fax:951-304-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89747207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACD621AMedicare PIN
CAAV071XMedicare PIN