Provider Demographics
NPI:1972718328
Name:EL-AMIN, SAADIQ FARID III (MD)
Entity type:Individual
Prefix:
First Name:SAADIQ
Middle Name:FARID
Last Name:EL-AMIN
Suffix:III
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 1:2505 NEWPOINT PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-6003
Mailing Address - Country:US
Mailing Address - Phone:678-257-7078
Mailing Address - Fax:678-669-2619
Practice Address - Street 1:2505 NEWPOINT PKWY STE 100
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-6003
Practice Address - Country:US
Practice Address - Phone:678-257-7078
Practice Address - Fax:678-669-2619
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA74882207X00000X
IL036-126083207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036126083Medicaid
IL256510059Medicare PIN