Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 125.071621 | IL |
Y | 208800000X | Urologist | 310677 | NY |
NPI | 1093291619 |
---|---|
Provider Name | Dr. Ragheed Saoud |
First Address | Burr Ridge, IL 60527-6686 |
Second Address | Riverhead, NY 11901-2054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2018 |
Last Update Date | 22/07/2021 |