Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-123509 | IL |
N | 111NI0900X | Internist | 036-123509 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036-123509 | IL |
Y | 207RI0011X | Interventional Cardiology | 036-123509 | IL |
NPI | 1013186071 |
---|---|
Provider Name | Dr. Hammad Saudye |
First Address | Chicago, IL 60659-1204 |
Second Address | Chicago, IL 60659-1204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2008 |
Last Update Date | 20/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036-123509 | (05) | IL |