Provider Demographics
NPI:1174611297
Name:SAAD BAKHAYA MD INC
Entity type:Organization
Organization Name:SAAD BAKHAYA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:MATTI
Authorized Official - Last Name:BAKHAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-945-1511
Mailing Address - Street 1:1629 WEST AVENUE J
Mailing Address - Street 2:SUITE 116
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534
Mailing Address - Country:US
Mailing Address - Phone:661-945-1511
Mailing Address - Fax:661-945-5539
Practice Address - Street 1:1629 WEST AVENUE J
Practice Address - Street 2:SUITE 116
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534
Practice Address - Country:US
Practice Address - Phone:661-945-1511
Practice Address - Fax:661-945-5539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F69099Medicare UPIN
A53067Medicare ID - Type Unspecified