1184681637 NPI number — DR. SAADI J ALBAGHDADI M.D.

Table of content: DR. SAADI J ALBAGHDADI M.D. (NPI 1184681637)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184681637 NPI number — DR. SAADI J ALBAGHDADI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALBAGHDADI
Provider First Name:
SAADI
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184681637
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2745 LINCOLN WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLINTON
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52732-7201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
563-244-2144
Provider Business Mailing Address Fax Number:
563-244-2143

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2745 LINCOLN WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52732-7201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
563-244-2144
Provider Business Practice Location Address Fax Number:
563-244-2143
Provider Enumeration Date:
04/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  MD21672 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 18969 . This is a "MIDLANDS CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4161091 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: F41006 . This is a "JOHN DEERE HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 27188 . This is a "IOWA HEALTH SOLUTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 018855 . This is a "HEALTH ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20302 . This is a "WELLMARK BC/BS" identifier . This identifiers is of the category "OTHER".




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