Healthcare Provider Details

I. General information

NPI: 1689378556
Provider Name (Legal Business Name): SAAD RASHID
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 VICTORIA AVE
MOUNT VERNON IL
62864-7023
US

IV. Provider business mailing address

3604 VICTORIA AVE
MOUNT VERNON IL
62864-7023
US

V. Phone/Fax

Practice location:
  • Phone: 618-623-2693
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.156444
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: