Basic Information
| Provider Information | |||||||||
| NPI: | 1598758583 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BITAR | ||||||||
| FirstName: | SAAD | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11125 DUNN RD | ||||||||
| Address2: | STE 204 | ||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631366132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148395522 | ||||||||
| FaxNumber: | 3148395351 | ||||||||
| Practice Location | |||||||||
| Address1: | 11125 DUNN RD | ||||||||
| Address2: | STE 204 | ||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631366132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148395522 | ||||||||
| FaxNumber: | 3148395351 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2005 | ||||||||
| LastUpdateDate: | 12/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 036097820 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 104887 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 164971 | 01 | MO | MOBC/BS | OTHER | 5844179 | 01 | CIGNA | OTHER | G57443 | 01 | MERCY | OTHER | V30946 | 01 | HEALTHPARTNERS | OTHER | 127199V3831 | 01 | GHP | OTHER | 2501555 | 01 | UHC | OTHER | 060069117 | 01 | IL | ILRRMCR | OTHER | 208939512 | 05 | MO | MEDICAID | 5811659 | 01 | AETNA | OTHER | 343361 | 01 | HEALTHLINK | OTHER | 008011207 | 01 | MO | MOMCR99 | OTHER | 060069027 | 01 | MO | MORRMCR | OTHER |