MEDICARE: SADRI M AVSAR MD

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	207R00000X	Internal Medicine Physician	11653	AL
2	208100000X	Physical Medicine & Rehabilitation Physician	MD11653	AL

General Provider Information

NPI Number	:	1447260914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADRI M AVSAR MD

Provider Business Mailing Address
First Line	:	PO BOX 830525
Second Line	:	DEPT SB004
City	:	BIRMINGHAM
State	:	AL
Zip	:	35283-0525
Country	:	US
Telephone Number	:	205-266-4631
Fax Number	:	949-703-7371

Provider Business Practice Location Address
First Line	:	5000 MEDICAL WEST WAY
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35022-7082
Country	:	US
Telephone Number	:	205-266-4631
Fax Number	:	205-481-8487

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	08/30/2024

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