Healthcare Provider Details

I. General information

NPI: 1063092997
Provider Name (Legal Business Name): ANAS SAAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 N SHADELAND AVE STE A
INDIANAPOLIS IN
46219-1706
US

IV. Provider business mailing address

4770 REGENT BLVD
IRVING TX
75063-2445
US

V. Phone/Fax

Practice location:
  • Phone: 800-890-6220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number01099502A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: