Healthcare Provider Details

I. General information

NPI: 1154398048
Provider Name (Legal Business Name): MAGED HANNA SAAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

893 HWY 70 WEST SUITE 200
GARNER NC
27529
US

IV. Provider business mailing address

893 HWY 70 WEST SUITE 200
GARNER NC
27529
US

V. Phone/Fax

Practice location:
  • Phone: 919-779-6461
  • Fax: 919-779-2255
Mailing address:
  • Phone: 919-779-6461
  • Fax: 919-779-2255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number20192
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: