Provider Demographics
NPI:1992117675
Name:SAFADI, SARAH AHMAD (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:AHMAD
Last Name:SAFADI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COOK ST STE 312
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5339
Mailing Address - Country:US
Mailing Address - Phone:720-516-9408
Mailing Address - Fax:720-516-9436
Practice Address - Street 1:100 COOK ST STE 312
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5339
Practice Address - Country:US
Practice Address - Phone:720-516-9408
Practice Address - Fax:720-516-9436
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0066192207RG0100X, 207RG0100X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program