Provider Demographics
NPI:1033378732
Name:SABZALI, SADAF SADRUDDIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SADAF
Middle Name:SADRUDDIN
Last Name:SABZALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1650 E STACY RD STE 160
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-8846
Mailing Address - Country:US
Mailing Address - Phone:214-726-9098
Mailing Address - Fax:972-727-0842
Practice Address - Street 1:1650 E STACY RD STE 160
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8846
Practice Address - Country:US
Practice Address - Phone:214-726-9098
Practice Address - Fax:972-727-0842
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA059957207Q00000X
TXM8969207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine