MEDICARE: WAEL ABDELGHANI SAAD M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	4301102862	MI
2	2085R0202X	Diagnostic Radiology Physician	002284	NY
3	2085R0204X	Vascular & Interventional Radiology Physician	002284	NY
4	2085R0204X	Vascular & Interventional Radiology Physician	0101244406	VA
5	2085R0204X	Vascular & Interventional Radiology Physician	4301102862	MI
6	2085R0204X	Vascular & Interventional Radiology Physician	12975502-1205	UT

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L02284-8W	OTHER	NY	WORKERS COMP
2	7739644	OTHER	NY	AETNA
3	P020002284	OTHER	NY	BLUE SHIELD
4	P010002284	OTHER	NY	BLUE CHOICE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MDH954	OTHER	NY	PREFERRED CARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1376577254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAEL ABDELGHANI SAAD M.D.

Provider Business Mailing Address
First Line	:	3621 SOUTH STATE ST
Second Line	:	700 KMS PLACE
City	:	ANN ARBOR
State	:	MI
Zip	:	48108
Country	:	US
Telephone Number	:	734-936-2047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 EAST MEDICAL CENTER DR
Second Line	:	B1 FLOOR UNIVERSITY HOSPITAL RECP C
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-5030
Country	:	US
Telephone Number	:	734-936-4566
Fax Number	:	734-764-4230

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	12/03/2022