Provider Demographics
NPI:1013081702
Name:SAULAT, BILAL (MD,)
Entity Type:Individual
Prefix:
First Name:BILAL
Middle Name:
Last Name:SAULAT
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:BILAL
Other - Middle Name:
Other - Last Name:SAULAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:484-628-0796
Mailing Address - Fax:484-334-7026
Practice Address - Street 1:301 S 7TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1410
Practice Address - Country:US
Practice Address - Phone:484-628-4656
Practice Address - Fax:484-628-4657
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00698382084N0008X, 2084N0400X, 2084S0012X
IL125-046979207R00000X
ALJ002141742084N0400X
PAMD4560242084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103060177Medicaid
PA103060177Medicaid