Provider Demographics
NPI:1720196306
Name:AL-HARIRI, SAAD (MD)
Entity Type:Individual
Prefix:
First Name:SAAD
Middle Name:
Last Name:AL-HARIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5881 LEESBURG PIKE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2314
Mailing Address - Country:US
Mailing Address - Phone:703-820-2899
Mailing Address - Fax:
Practice Address - Street 1:5881 LEESBURG PIKE
Practice Address - Street 2:SUITE 400
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2314
Practice Address - Country:US
Practice Address - Phone:703-820-2899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051396208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6713327Medicaid
F16366Medicare UPIN