MEDICARE: DR. SYED ALI SAFDAR 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	207R00000X	Internal Medicine Physician	ME0070811	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110232732	OTHER		RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760486237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED ALI SAFDAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 48589
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-0122
Country	:	US
Telephone Number	:	813-715-4446
Fax Number	:	813-780-7786

Provider Business Practice Location Address
First Line	:	37900 DAUGHTERY RD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33541
Country	:	US
Telephone Number	:	813-715-4446
Fax Number	:	813-780-7786

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

Provider Enumeration Date	:	06/11/2005
Last Update Date	:	06/13/2008

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