Healthcare Provider Details

I. General information

NPI: 1942702436
Provider Name (Legal Business Name): SAAD PROFESSIONAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2018
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20755 GREENFIELD RD STE 100
SOUTHFIELD MI
48075-5400
US

IV. Provider business mailing address

677 KINLOCH ST
DEARBORN HEIGHTS MI
48127-3753
US

V. Phone/Fax

Practice location:
  • Phone: 313-407-1545
  • Fax:
Mailing address:
  • Phone: 313-715-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301080553
License Number StateMI

VIII. Authorized Official

Name: MISS CYNTHIA BURT
Title or Position: PRACTICE MANAGER
Credential:
Phone: 313-407-1545