Healthcare Provider Details

I. General information

NPI: 1003750852
Provider Name (Legal Business Name): SAFA ANSARI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MEMORIAL DRIVE SHENANGO VALLEY FAMILY MEDICINE SUITE B. FARRELL, PA 16121
FARRELL PA
16121
US

IV. Provider business mailing address

3600 FORBES AVENUE, FORBES TOWER PLAZA LEVEL SUITE 140, PITTSBURGH, PA, 15213
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 724-528-2513
  • Fax:
Mailing address:
  • Phone: 412-687-5815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: