Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 270968 | MA |
NPI | 1033406491 |
---|---|
Provider Name | Dr. Siavash Saadat |
First Address | Springfield, MA 01199-1001 |
Second Address | Springfield, MA 01107-1273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2011 |
Last Update Date | 26/11/2021 |