MEDICARE: MISS SAHAR GERAMFARD 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
1	208D00000X	General Practice Physician	P01724	NY
2	208D00000X	General Practice Physician	110258	GA

General Provider Information

NPI Number	:	1235607599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SAHAR GERAMFARD MD

Provider Business Mailing Address
First Line	:	3198 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-1000
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:	347-479-1303

Provider Business Practice Location Address
First Line	:	1800 HOWELL MILL RD NW STE 130
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-0916
Country	:	US
Telephone Number	:	404-532-1564
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2018
Last Update Date	:	04/28/2026

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