Provider Demographics
NPI:1710032131
Name:SAAD, SHAKER F (MD)
Entity type:Individual
Prefix:DR
First Name:SHAKER
Middle Name:F
Last Name:SAAD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 GOLDRUSH RD
Mailing Address - Street 2:SUITE 227
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-8380
Mailing Address - Country:US
Mailing Address - Phone:928-704-1422
Mailing Address - Fax:928-704-1457
Practice Address - Street 1:130 DIVISION ST
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-1326
Practice Address - Country:US
Practice Address - Phone:203-732-1330
Practice Address - Fax:203-732-1332
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036164869207R00000X, 208M00000X
AZ28999208M00000X
CT38638207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ569022Medicaid
AZAZ0734220OtherBCBS PROVIDER ID
AZ569022Medicaid
AZAZ0734220OtherBCBS PROVIDER ID
AZH41461Medicare UPIN
AZ331050297OtherFEDERAL TAX ID NUMBER