Provider Demographics
NPI:1679587067
Name:SAAD, ANTOUNE K (MD)
Entity Type:Individual
Prefix:MR
First Name:ANTOUNE
Middle Name:K
Last Name:SAAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:630 N 13TH AVE
Mailing Address - Street 2:STE E
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4978
Mailing Address - Country:US
Mailing Address - Phone:909-946-6676
Mailing Address - Fax:909-946-7368
Practice Address - Street 1:630 N 13TH AVE
Practice Address - Street 2:STE E
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-946-6676
Practice Address - Fax:909-946-7368
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA56048208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G63205Medicare UPIN