Provider Demographics
NPI:1598758583
Name:BITAR, SAAD R (MD)
Entity Type:Individual
Prefix:
First Name:SAAD
Middle Name:R
Last Name:BITAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11125 DUNN RD
Mailing Address - Street 2:STE 204
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-6132
Mailing Address - Country:US
Mailing Address - Phone:314-839-5522
Mailing Address - Fax:314-839-5351
Practice Address - Street 1:11125 DUNN RD
Practice Address - Street 2:STE 204
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-6132
Practice Address - Country:US
Practice Address - Phone:314-839-5522
Practice Address - Fax:314-839-5351
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036097820207RC0000X
MO104887207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO164971OtherMOBC/BS
5844179OtherCIGNA
G57443OtherMERCY
V30946OtherHEALTHPARTNERS
127199V3831OtherGHP
2501555OtherUHC
IL060069117OtherILRRMCR
MO208939512Medicaid
5811659OtherAETNA
343361OtherHEALTHLINK
MO008011207OtherMOMCR99
MO060069027OtherMORRMCR
ILL93151Medicare PIN
MO008011207OtherMOMCR99
G57443OtherMERCY
MO010010900Medicare PIN
127199V3831OtherGHP
MO010010452Medicare PIN
MO208939512Medicaid