Provider Demographics
NPI:1275722951
Name:GHAFOOR, SADIA (DO)
Entity Type:Individual
Prefix:DR
First Name:SADIA
Middle Name:
Last Name:GHAFOOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7378
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7378
Mailing Address - Country:US
Mailing Address - Phone:732-431-4335
Mailing Address - Fax:732-431-4771
Practice Address - Street 1:508 LAKEHURST RD
Practice Address - Street 2:SUITE IA
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8000
Practice Address - Country:US
Practice Address - Phone:732-431-4335
Practice Address - Fax:732-431-4771
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08259000207RR0500X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist