Provider Demographics
NPI:1336106707
Name:SAGHAFI, DARIUS (MD)
Entity Type:Individual
Prefix:
First Name:DARIUS
Middle Name:
Last Name:SAGHAFI
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 1:251 7TH ST
Mailing Address - Street 2:STE C204
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068
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:STE C204
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068
Practice Address - Country:US
Practice Address - Phone:724-339-1633
Practice Address - Fax:724-339-1170
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035245L207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008969450003Medicaid
PASA541649Medicare ID - Type Unspecified
B36588Medicare UPIN
PA0008969450003Medicaid