Provider Demographics
NPI:1124331491
Name:WALID SAADO MD PC
Entity type:Organization
Organization Name:WALID SAADO MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-926-5511
Mailing Address - Street 1:PO BOX 1929
Mailing Address - Street 2:
Mailing Address - City:CLINTWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:24228-1929
Mailing Address - Country:US
Mailing Address - Phone:276-926-5511
Mailing Address - Fax:276-926-5513
Practice Address - Street 1:5476 DICKENSON HWY
Practice Address - Street 2:
Practice Address - City:CLINTWOOD
Practice Address - State:VA
Practice Address - Zip Code:24228
Practice Address - Country:US
Practice Address - Phone:276-926-5511
Practice Address - Fax:276-926-5513
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WALID SAADO MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-15
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050942261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health