Provider Demographics
NPI:1295033439
Name:SADAR, EDWARD STEPHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:STEPHAN
Last Name:SADAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:992 JAEGER ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-2625
Mailing Address - Country:US
Mailing Address - Phone:614-445-8550
Mailing Address - Fax:
Practice Address - Street 1:992 JAEGER ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-2625
Practice Address - Country:US
Practice Address - Phone:614-445-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-12
Last Update Date:2011-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.030932207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery