Provider Demographics
NPI:1912079724
Name:SARDAR, PHILIP D (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:D
Last Name:SARDAR
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1631 CREEKSIDE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3820
Mailing Address - Country:US
Mailing Address - Phone:916-250-0377
Mailing Address - Fax:916-250-0378
Practice Address - Street 1:1631 CREEKSIDE DR STE 102
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3820
Practice Address - Country:US
Practice Address - Phone:916-250-0377
Practice Address - Fax:916-250-0378
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2024-08-21
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Provider Licenses
StateLicense IDTaxonomies
CAC50312207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology