Healthcare Provider Details

I. General information

NPI: 1033216007
Provider Name (Legal Business Name): FADI BSAT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1121
WEST SPRINGFIELD MA
01090-1121
US

IV. Provider business mailing address

PO BOX 1121
WEST SPRINGFIELD MA
01090-1121
US

V. Phone/Fax

Practice location:
  • Phone: 413-342-4314
  • Fax: 919-874-1649
Mailing address:
  • Phone: 413-342-4314
  • Fax: 919-874-1649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number203442
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: