Provider Demographics
NPI:1386336543
Name:SARDAR, DAIM KHUSHAL (MD)
Entity type:Individual
Prefix:MR
First Name:DAIM
Middle Name:KHUSHAL
Last Name:SARDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 GRIDER STREET
Mailing Address - Street 2:INTERNAL MEDICINE RESIDENCY EDUCATION OFFICE
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215
Mailing Address - Country:US
Mailing Address - Phone:716-898-4578
Mailing Address - Fax:716-898-3279
Practice Address - Street 1:462 GRIDER STREET
Practice Address - Street 2:INTERNAL MEDICINE RESIDENCY EDUCATION OFFICE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-898-4578
Practice Address - Fax:716-898-3279
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2024-02-06
Deactivation Date:2023-12-26
Deactivation Code:
Reactivation Date:2024-02-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program