Provider Demographics
NPI:1376645200
Name:SAFAI, CYRUS S (MD,)
Entity Type:Individual
Prefix:
First Name:CYRUS
Middle Name:S
Last Name:SAFAI
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:CYRUS
Other - Middle Name:S
Other - Last Name:SAFAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:37 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:ATHERTON
Mailing Address - State:CA
Mailing Address - Zip Code:94027-2007
Mailing Address - Country:US
Mailing Address - Phone:650-324-2499
Mailing Address - Fax:
Practice Address - Street 1:37 IRVING AVE
Practice Address - Street 2:
Practice Address - City:ATHERTON
Practice Address - State:CA
Practice Address - Zip Code:94027-2007
Practice Address - Country:US
Practice Address - Phone:650-324-2499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA299622085N0904X, 2085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology