Provider Demographics
NPI:1427341684
Name:SAADAT, NARIMAN (DDS MD)
Entity type:Individual
Prefix:
First Name:NARIMAN
Middle Name:
Last Name:SAADAT
Suffix:
Gender:M
Credentials:DDS MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9781 BLANTYRE DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-1145
Mailing Address - Country:US
Mailing Address - Phone:310-801-4992
Mailing Address - Fax:
Practice Address - Street 1:6200 WILSHIRE BLVD STE 1609
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5817
Practice Address - Country:US
Practice Address - Phone:310-801-4992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA1012891223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program