Healthcare Provider Details

I. General information

NPI: 1194838110
Provider Name (Legal Business Name): MOHAMMAD REHMAN SAFDAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 E BELL RD SUITE 4800
PHOENIX AZ
85032-2105
US

IV. Provider business mailing address

3805 E BELL RD STE 4800
PHOENIX AZ
85032-2173
US

V. Phone/Fax

Practice location:
  • Phone: 602-996-4747
  • Fax: 602-953-5466
Mailing address:
  • Phone: 602-996-4747
  • Fax: 602-953-5466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number82291-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number82291-20
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number50474
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number50474
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: