Provider Demographics
NPI:1528072253
Name:BEDEIR, SAAD ELDIN (MD)
Entity type:Individual
Prefix:MR
First Name:SAAD
Middle Name:ELDIN
Last Name:BEDEIR
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:PO BOX 569
Mailing Address - Street 2:
Mailing Address - City:FITZGERALD
Mailing Address - State:GA
Mailing Address - Zip Code:31750
Mailing Address - Country:US
Mailing Address - Phone:912-384-7120
Mailing Address - Fax:912-384-5130
Practice Address - Street 1:1001 WARD ST W
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2263
Practice Address - Country:US
Practice Address - Phone:912-384-7120
Practice Address - Fax:912-384-5130
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046734207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000827824HMedicaid
F58121Medicare UPIN
GA39BDCCMMedicare ID - Type Unspecified