Provider Demographics
NPI:1982798898
Name:M. JAVAD SAADAT, MD, PC
Entity Type:Organization
Organization Name:M. JAVAD SAADAT, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:JAVAD
Authorized Official - Last Name:SAADAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-445-5099
Mailing Address - Street 1:105 W. CHURCH STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-2251
Mailing Address - Country:US
Mailing Address - Phone:814-445-5099
Mailing Address - Fax:814-444-1852
Practice Address - Street 1:105 W. CHURCH STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2251
Practice Address - Country:US
Practice Address - Phone:814-445-5099
Practice Address - Fax:814-444-1852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047643L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000515664OtherHIGHMARK BLUE SHIELD
PA92816OtherUNISON HEALTH PLAN ID
PAMD047643LOtherLICENSE NUMBER
PA001444736 0006Medicaid
PA1040153OtherGATEWAY HEALTH PLAN ID
PA1040153OtherGATEWAY HEALTH PLAN ID
PA92816OtherUNISON HEALTH PLAN ID