Provider Demographics
NPI:1699940023
Name:KIRAN SARAF MD PC
Entity type:Organization
Organization Name:KIRAN SARAF MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:KIRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-320-3786
Mailing Address - Street 1:10 HIGHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4614
Mailing Address - Country:US
Mailing Address - Phone:914-320-3786
Mailing Address - Fax:
Practice Address - Street 1:234 N CENTRAL AVE
Practice Address - Street 2:SUITE # 201
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1809
Practice Address - Country:US
Practice Address - Phone:914-683-2560
Practice Address - Fax:914-358-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-27
Last Update Date:2008-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYY31815Medicare UPIN