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NPI Code Detail

MEDICARE: DR. ALI SAFDAR MD

MEDICARE: DR. ALI SAFDAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician20837IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
241850OTHERIABCBS

General Provider Information

NPI Number : 1043211303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALI SAFDAR MD
Provider Business Mailing Address
First Line : 3100 E AVE NW STE 101
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52405-2962
Country : US
Telephone Number : 319-396-1066
Fax Number : 319-396-8779
Provider Business Practice Location Address
First Line : 1860 COUNTY HOME RD
Second Line :
City : MARION
State : IA
Zip : 52302-9753
Country : US
Telephone Number : 319-396-1066
Fax Number : 319-396-8779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 10/13/2011

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Directions to “ DR. ALI SAFDAR MD” Practice Location

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