MEDICARE: DR. MALAZ SAFI M.D.

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	207W00000X	Ophthalmology Physician	R9B71	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180007127	OTHER	IL	RAIL ROAD MEDICARE
2	180007127	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447446489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MALAZ SAFI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31817
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-0817
Country	:	US
Telephone Number	:	314-543-2850
Fax Number	:	314-543-2851

Provider Business Practice Location Address
First Line	:	8790 WATSON RD
Second Line	:	SUITE. 203
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-5140
Country	:	US
Telephone Number	:	314-543-2850
Fax Number	:	314-543-2851

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

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	03/21/2014

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Directions to “ DR. MALAZ SAFI M.D.” Practice Location

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