Provider Demographics
NPI:1992792196
Name:SARWAR, SALEH ZAKIR AHMAD (MD FACC)
Entity type:Individual
Prefix:
First Name:SALEH
Middle Name:ZAKIR AHMAD
Last Name:SARWAR
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 JEANNE DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1702
Mailing Address - Country:US
Mailing Address - Phone:845-565-4400
Mailing Address - Fax:845-565-4822
Practice Address - Street 1:5 JEANNE DR
Practice Address - Street 2:SUITE 7
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1702
Practice Address - Country:US
Practice Address - Phone:845-565-4400
Practice Address - Fax:845-565-4822
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174954207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01186103Medicaid
E87363Medicare UPIN
NY01186103Medicaid