Healthcare Provider Details

I. General information

NPI: 1073684122
Provider Name (Legal Business Name): NASSER SAFFARIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NASSSR SAFFARIAN MD

II. Dates (important events)

Enumeration Date: 11/12/2006
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 37TH AVE SW
MINOT ND
58701-7669
US

IV. Provider business mailing address

PO BOX 5010
MINOT ND
58702-5010
US

V. Phone/Fax

Practice location:
  • Phone: 701-857-5000
  • Fax:
Mailing address:
  • Phone: 701-418-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0038071
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number8627
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD2007-0540
License Number StateNM
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD2007-0540
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number8627
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: