Healthcare Provider Details
I. General information
NPI: 1548470347
Provider Name (Legal Business Name): AYMAN SAAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2007
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
460 W 10TH AVE
COLUMBUS OH
43210-1240
US
IV. Provider business mailing address
700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US
V. Phone/Fax
- Phone: 614-293-3196
- Fax: 614-293-4812
- Phone: 614-293-3196
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0000X |
| Taxonomy | Hematology (Internal Medicine) Physician |
| License Number | 35.134740 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | 22092 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: