Provider Demographics
NPI:1720899651
Name:SAADULLAH, ABBAS
Entity type:Individual
Prefix:
First Name:ABBAS
Middle Name:
Last Name:SAADULLAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 N OAK ST APT 3
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-4860
Mailing Address - Country:US
Mailing Address - Phone:608-334-2966
Mailing Address - Fax:
Practice Address - Street 1:617 N OAK ST APT 3
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4860
Practice Address - Country:US
Practice Address - Phone:608-334-2966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)