Healthcare Provider Details

I. General information

NPI: 1942855200
Provider Name (Legal Business Name): CARLA SAOUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

600 N WOLFE ST RM 401
BALTIMORE MD
21287-0005
US

V. Phone/Fax

Practice location:
  • Phone: 212-639-3256
  • Fax:
Mailing address:
  • Phone: 410-955-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number336637-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number336637-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: