# MD SAON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952924334
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4351046892 | MI | — |
| 2085R0202X | Diagnostic Radiology Physician | 111198 | GA | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 111198 | GA | Yes |
| 208D00000X | General Practice Physician | 43188 | AL | Yes |

## Other

- **Enumeration date:** 05/20/2020
- **Last updated:** 08/13/2026