Provider Demographics
NPI:1750325734
Name:SABBAGH, SAAD ELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAAD
Middle Name:ELIA
Last Name:SABBAGH
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:PO BOX 1145
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-5145
Mailing Address - Country:US
Mailing Address - Phone:248-360-1607
Mailing Address - Fax:248-360-9029
Practice Address - Street 1:8391 COMMERCE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48382-4489
Practice Address - Country:US
Practice Address - Phone:248-360-1607
Practice Address - Fax:248-360-9029
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISS0478342086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Not Answered208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0631112OtherBLUE CROSS BLUE SHIELD OF
MI1925602Medicaid
MI1925602Medicaid
MI0631112OtherBLUE CROSS BLUE SHIELD OF