Basic Information
Provider Information
NPI: 1720332489
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAAD ALDIN
FirstName: EHAB
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2323 W ROSE GARDEN LN
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850272530
CountryCode: US
TelephoneNumber: 6025216252
FaxNumber:  
Practice Location
Address1: 3501 N SCOTTSDALE RD STE 130
Address2:  
City: SCOTTSDALE
State: AZ
PostalCode: 85251
CountryCode: US
TelephoneNumber: 4804255000
FaxNumber: 4804255033
Other Information
ProviderEnumerationDate: 11/02/2012
LastUpdateDate: 09/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X58629AZY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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