MEDICARE: CONSTANTINE KHALIL SAADEH M.D.

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	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	102726	TX
2	207RR0500X	Rheumatology Physician	102726	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457322869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONSTANTINE KHALIL SAADEH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 51389
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79159-1389
Country	:	US
Telephone Number	:	806-353-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6842 PLUM CREEK DR
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79124-1601
Country	:	US
Telephone Number	:	806-353-7000
Fax Number	:

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	01/09/2025

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