MEDICARE: FADI BSAT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician	203442	MA

General Provider Information

NPI Number	:	1033216007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FADI BSAT MD

Provider Business Mailing Address
First Line	:	PO BOX 1121
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01090-1121
Country	:	US
Telephone Number	:	413-342-4314
Fax Number	:	919-874-1649

Provider Business Practice Location Address
First Line	:	PO BOX 1121
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01090-1121
Country	:	US
Telephone Number	:	413-342-4314
Fax Number	:	919-874-1649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/17/2025

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