Provider Demographics
NPI:1467984336
Name:SAAD, AMIN FAWAZ (MD)
Entity type:Individual
Prefix:DR
First Name:AMIN
Middle Name:FAWAZ
Last Name:SAAD
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 1:1500 WESTBRANCH DR APT 414
Mailing Address - Street 2:
Mailing Address - City:TYSONS
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3281
Mailing Address - Country:US
Mailing Address - Phone:917-833-9539
Mailing Address - Fax:
Practice Address - Street 1:3001 HOSPITAL DR FL 5
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1189
Practice Address - Country:US
Practice Address - Phone:301-618-3776
Practice Address - Fax:301-618-2986
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0099632207R00000X
MI390200000X
390200000X
MD390200000X
VA0101272713207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program