Provider Demographics
NPI:1740586668
Name:HANNA A. SAADAH, MD., INC.
Entity Type:Organization
Organization Name:HANNA A. SAADAH, MD., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAADAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-600-1210
Mailing Address - Street 1:5701 N PORTLAND AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-1678
Mailing Address - Country:US
Mailing Address - Phone:405-600-1210
Mailing Address - Fax:405-602-5756
Practice Address - Street 1:5701 N PORTLAND AVE STE 225
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-1678
Practice Address - Country:US
Practice Address - Phone:405-600-1210
Practice Address - Fax:405-600-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10337207R00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKA102667Medicare PIN
OKD35231Medicare UPIN