Provider Demographics
NPI:1639918527
Name:FADI SAIKALI MEDICAL CORPORATION
Entity type:Organization
Organization Name:FADI SAIKALI MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FADI
Authorized Official - Middle Name:NICOLAS
Authorized Official - Last Name:SAIKALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-857-3498
Mailing Address - Street 1:14378 ST ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-4312
Mailing Address - Country:US
Mailing Address - Phone:760-760-0777
Mailing Address - Fax:
Practice Address - Street 1:14378 ST ANDREWS DR
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-4312
Practice Address - Country:US
Practice Address - Phone:760-760-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty