Provider Demographics
NPI:1104192764
Name:DARIUS SAGHAFI, MD
Entity Type:Organization
Organization Name:DARIUS SAGHAFI, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BORTOLUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-339-1633
Mailing Address - Street 1:251 7TH ST
Mailing Address - Street 2:SUITE C204
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-6534
Mailing Address - Country:US
Mailing Address - Phone:724-339-1633
Mailing Address - Fax:724-339-1170
Practice Address - Street 1:251 7TH ST
Practice Address - Street 2:SUITE C204
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-6534
Practice Address - Country:US
Practice Address - Phone:724-339-1633
Practice Address - Fax:724-339-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA541649Medicare PIN