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NPI Code Detail

MEDICARE: SANA SAFAEI M.D.

MEDICARE: SANA SAFAEI 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
1207Q00000XFamily Medicine Physician34384AZ
2207Q00000XFamily Medicine Physician11497NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111497OTHERNVSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457347304
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANA SAFAEI M.D.
Provider Business Mailing Address
First Line : 6355 S BUFFALO DR FL 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2133
Country : US
Telephone Number : 702-216-3346
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 2035 VILLAGE CENTER CIR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-6251
Country : US
Telephone Number : 702-228-7117
Fax Number : 702-804-5365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 10/20/2022

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Directions to “ SANA SAFAEI M.D.” Practice Location

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