MEDICARE: SAAD GULIWALA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN122711	GA

General Provider Information

NPI Number	:	1134865504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAAD GULIWALA

Provider Business Mailing Address
First Line	:	3845 MEDICAL PARK DR
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30106-1109
Country	:	US
Telephone Number	:	770-944-3737
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 OLD 41 HWY NW
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-3793
Country	:	US
Telephone Number	:	678-269-7099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2022
Last Update Date	:	01/01/2026

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Directions to “ SAAD GULIWALA ” Practice Location

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