Basic Information
| Provider Information | |||||||||
| NPI: | 1659458156 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAADLLA | ||||||||
| FirstName: | HAVAL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4439 STATE ROUTE 159 STE 210 | ||||||||
| Address2: | |||||||||
| City: | CHILLICOTHE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456018207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407798700 | ||||||||
| FaxNumber: | 7407798709 | ||||||||
| Practice Location | |||||||||
| Address1: | 4439 STATE ROUTE 159 STE 210 | ||||||||
| Address2: | |||||||||
| City: | CHILLICOTHE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456018207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407798700 | ||||||||
| FaxNumber: | 7407798709 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 09/14/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/14/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | 35.094173 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RC0200X | 35.094173 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 409060800 | 05 | MD | MEDICAID | 037304800 | 05 | DC | MEDICAID | 2973680 | 05 | OH | MEDICAID | 415096100 | 05 | MD | MEDICAID | 64882401 | 01 | MD | BCBS MARYLAND | OTHER | J0950016 | 01 | DC | BCBS DC | OTHER |