Provider Demographics
NPI:1679845457
Name:ALABAGI, SAAD
Entity Type:Individual
Prefix:MR
First Name:SAAD
Middle Name:
Last Name:ALABAGI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 E BENSON HWY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-5029
Mailing Address - Country:US
Mailing Address - Phone:520-882-0000
Mailing Address - Fax:520-624-4548
Practice Address - Street 1:1170 E BENSON HWY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-5029
Practice Address - Country:US
Practice Address - Phone:520-882-0000
Practice Address - Fax:520-624-4548
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10194707343900000X, 347C00000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle