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General NPI Number Information
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NPI Number | 1912079724
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Entity Type | Individual
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Provider Name | PHILIP D. SARDAR MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1631 CREEKSIDE DR STE 102
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City | FOLSOM
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State | CA
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Zip | 95630-3820
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Country | US
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Telephone | 916-250-0377
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Fax | 916-250-0378
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Provider Business Mailing Address
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Address Line | 1631 CREEKSIDE DR STE 102
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City | FOLSOM
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State | CA
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Zip | 95630-3820
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Country | US
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Telephone | 916-250-0377
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Fax | 916-250-0378
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | C50312
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License Number State | CA
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