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NPI Code Detail

MEDICARE: SAJJAD BIDAR

MEDICARE:   SAJJAD  BIDAR
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
1363A00000XPhysician Assistant58329CA

General Provider Information

NPI Number : 1487297016
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAJJAD BIDAR
Provider Business Mailing Address
First Line : 3838 CLAYTON RD APT 203
Second Line :
City : CONCORD
State : CA
Zip : 94521-2564
Country : US
Telephone Number : 925-325-2028
Fax Number :
Provider Business Practice Location Address
First Line : 3838 CLAYTON RD APT 203
Second Line :
City : CONCORD
State : CA
Zip : 94521-2564
Country : US
Telephone Number : 925-325-2028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2019
Last Update Date : 04/07/2026

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Directions to “ SAJJAD BIDAR ” Practice Location

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