Provider Demographics
NPI:1366759813
Name:SAADI, SAYYED DHIAADDIN (PHD)
Entity type:Individual
Prefix:DR
First Name:SAYYED
Middle Name:DHIAADDIN
Last Name:SAADI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:SAN JACINTO
Mailing Address - State:CA
Mailing Address - Zip Code:92583-6318
Mailing Address - Country:US
Mailing Address - Phone:951-487-1915
Mailing Address - Fax:
Practice Address - Street 1:1180 N STATE ST
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583-6318
Practice Address - Country:US
Practice Address - Phone:951-487-1915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-04
Last Update Date:2010-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH53497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist