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Individual
PIR SAAD
Active
Individual
PIR SAAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0093362
MD
208M00000X
Hospitalist Physician
Primary
2025-01485
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2019
Last updated
09/12/2025
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