Provider Demographics
NPI:1861621336
Name:SAADI, MHD-IYAD WALEED (MD)
Entity type:Individual
Prefix:DR
First Name:MHD-IYAD
Middle Name:WALEED
Last Name:SAADI
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 90036
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85066-0036
Mailing Address - Country:US
Mailing Address - Phone:248-444-4209
Mailing Address - Fax:
Practice Address - Street 1:2121 E PECOS RD STE 3
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-6075
Practice Address - Country:US
Practice Address - Phone:480-398-2480
Practice Address - Fax:480-398-2483
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301095129207R00000X
CAA119970207RC0200X, 207RP1001X
AZ52545207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ190076OtherMEDICARE PTAN