MEDICARE: DR. BAHRAM SAFANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	190509	NY
2	207L00000X	Anesthesiology Physician	190509	NY

General Provider Information

NPI Number	:	1427265438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BAHRAM SAFANI M.D.

Provider Business Mailing Address
First Line	:	2 TIDEWAY
Second Line	:
City	:	KINGS POINT
State	:	NY
Zip	:	11024
Country	:	US
Telephone Number	:	718-788-5050
Fax Number	:	718-768-2770

Provider Business Practice Location Address
First Line	:	296 7TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3698
Country	:	US
Telephone Number	:	718-788-7993
Fax Number	:	718-768-2770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	04/14/2026

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