Provider Demographics
NPI:1154398048
Name:SAAD, MAGED HANNA (MD)
Entity type:Individual
Prefix:DR
First Name:MAGED
Middle Name:HANNA
Last Name:SAAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:893 HWY 70 WEST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529
Mailing Address - Country:US
Mailing Address - Phone:919-779-6461
Mailing Address - Fax:919-779-2255
Practice Address - Street 1:893 HWY 70 WEST
Practice Address - Street 2:SUITE 200
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529
Practice Address - Country:US
Practice Address - Phone:919-779-6461
Practice Address - Fax:919-779-2255
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
74120OtherBCBS
NC8974120Medicaid
203089Medicare PIN
74120OtherBCBS