Healthcare Provider Details

I. General information

NPI: 1568647006
Provider Name (Legal Business Name): ALI G SAAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 05/23/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 NW 12TH AVE STE 2125
MIAMI FL
33136-1002
US

IV. Provider business mailing address

1475 NW 12TH AVE STE 2125
MIAMI FL
33136-1002
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-1111
  • Fax:
Mailing address:
  • Phone: 305-243-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZN0500X
TaxonomyNeuropathology Physician
License NumberME124512
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License NumberME124512
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberME124512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: