Healthcare Provider Details

I. General information

NPI: 1861590176
Provider Name (Legal Business Name): AMIR SAFFARIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18181 BUTTERFIELD BLVD SUITE 185
MORGAN HILL CA
95037-8103
US

IV. Provider business mailing address

18181 BUTTERFIELD BLVD SUITE 185
MORGAN HILL CA
95037-8103
US

V. Phone/Fax

Practice location:
  • Phone: 408-779-2009
  • Fax: 408-779-2011
Mailing address:
  • Phone: 408-779-2009
  • Fax: 408-779-2011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberA65914
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: