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NPI Code Detail

MEDICARE: SAEED ANSARI SADRABADI M.D.

MEDICARE: SAEED ANSARI SADRABADI 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
12084V0102XVascular Neurology Physician0101272246VA
22084V0102XVascular Neurology PhysicianMD048300DC
32084N0400XNeurology Physician0101272246VA

General Provider Information

NPI Number : 1952729113
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAEED ANSARI SADRABADI M.D.
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 1006
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number : 540-224-5516
Fax Number :
Provider Business Practice Location Address
First Line : 3 RIVERSIDE CIR
Second Line :
City : ROANOKE
State : VA
Zip : 24016-4955
Country : US
Telephone Number : 540-224-5170
Fax Number : 540-985-9427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2014
Last Update Date : 05/21/2026

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