Individual
IBNALWALID A SAAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 SPRINT DR STE 3, CARLISLE, PA 17015-7002
(717) 713-2100
(717) 713-2101
Mailing address
19 SPRINT DR STE 2, CARLISLE, PA 17015-7002
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40042
SC
208600000X
Surgery Physician
Primary
MD469424
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103731235
—
PA
Enumeration date
08/01/2011
Last updated
04/09/2021
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