MEDICARE: RAJA SAADE, MD PA

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	207Q00000X	Family Medicine Physician		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508871377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAJA SAADE, MD PA

Provider Business Mailing Address
First Line	:	PO BOX 910
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-0910
Country	:	US
Telephone Number	:	817-558-4535
Fax Number	:	817-641-6706

Provider Business Practice Location Address
First Line	:	201 N BROADWAY ST
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-3066
Country	:	US
Telephone Number	:	817-558-4535
Fax Number	:	817-641-6706

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROGER SAADE
Credential	:	M.D.
Telephone Number	:	817-558-4535

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	06/17/2008

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Directions to “RAJA SAADE, MD PA ” Practice Location

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