Provider Demographics
NPI:1285833566
Name:RIDA, SAHAR K (MD)
Entity Type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:K
Last Name:RIDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:380 E NORTHWEST HWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2290
Mailing Address - Country:US
Mailing Address - Phone:847-954-0112
Mailing Address - Fax:847-954-0313
Practice Address - Street 1:380 E NORTHWEST HWY
Practice Address - Street 2:SUITE 310
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2290
Practice Address - Country:US
Practice Address - Phone:847-954-0112
Practice Address - Fax:847-954-0313
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01632139OtherBLUE CROSS BLUE SHIELD
IL10672860OtherCAQH
IL01632139OtherBLUE CROSS BLUE SHIELD
IL208025Medicare PIN