Provider Demographics
NPI:1699664680
Name:MULLAH, SAAD HABIB-E-RASUL (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SAAD
Middle Name:HABIB-E-RASUL
Last Name:MULLAH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 BARBARA JEAN DR
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-2182
Mailing Address - Country:US
Mailing Address - Phone:301-263-4467
Mailing Address - Fax:
Practice Address - Street 1:3230 CHURCH ST
Practice Address - Street 2:
Practice Address - City:VALATIE
Practice Address - State:NY
Practice Address - Zip Code:12184-2303
Practice Address - Country:US
Practice Address - Phone:518-758-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP136218207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine