Healthcare Provider Details

I. General information

NPI: 1558687335
Provider Name (Legal Business Name): ABDULGHANI SAADI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 TOWN CENTER BLVD STE C
BRANDON FL
33511-2906
US

IV. Provider business mailing address

38135 MARKET SQUARE DR
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-633-1980
  • Fax: 813-355-5104
Mailing address:
  • Phone: 813-633-1980
  • Fax: 813-355-5104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME145893
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME145893
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME145893
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: