Healthcare Provider Details

I. General information

NPI: 1124010418
Provider Name (Legal Business Name): REDA SHIBL SAAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

320 E NORTH AVE
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-6886
  • Fax: 412-359-3598
Mailing address:
  • Phone: 412-359-6886
  • Fax: 412-359-3598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License NumberMD420881
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: