Basic Information
| Provider Information | |||||||||
| NPI: | 1851950711 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SAFDAR | ||||||||
| FirstName: | SABA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6014 171ST ST | ||||||||
| Address2: | |||||||||
| City: | FRESH MEADOWS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113651510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184593096 | ||||||||
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| Practice Location | |||||||||
| Address1: | 112 N 7TH ST | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172174300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2019 | ||||||||
| LastUpdateDate: | 10/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MT218118 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD478404 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD478404 | PA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.