Provider Demographics
NPI:1023793395
Name:QUDUSI, SAAD AHMED (MD)
Entity type:Individual
Prefix:MR
First Name:SAAD
Middle Name:AHMED
Last Name:QUDUSI
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:GOOD SAMARITAN HOSPITAL
Mailing Address - Street 2:121 BUNTIN STREET
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591
Mailing Address - Country:US
Mailing Address - Phone:812-885-3228
Mailing Address - Fax:812-885-8621
Practice Address - Street 1:GOOD SAMARITAN HOSPITAL
Practice Address - Street 2:121 BUNTIN STREET
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591
Practice Address - Country:US
Practice Address - Phone:812-885-3228
Practice Address - Fax:812-885-8621
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program