Provider Demographics
NPI:1396787578
Name:SAIKALI, FADI NICOLAS (MD)
Entity type:Individual
Prefix:DR
First Name:FADI
Middle Name:NICOLAS
Last Name:SAIKALI
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 1:2391 GREENSPRING DR
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3166
Mailing Address - Country:US
Mailing Address - Phone:800-777-7904
Mailing Address - Fax:
Practice Address - Street 1:7601 OSLER DR
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7700
Practice Address - Country:US
Practice Address - Phone:410-427-2054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD64463208M00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD410954600Medicaid
MDS1380112OtherCAREFIRST REGIONAL GBMC
MDKJ15/89135101OtherCAREFIRST OF MARYLAND GBM
MD725LO814Medicare PIN
MDKJ15/89135101OtherCAREFIRST OF MARYLAND GBM