Provider Demographics
NPI:1417291675
Name:REGAR, SADAF (PA)
Entity Type:Individual
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First Name:SADAF
Middle Name:
Last Name:REGAR
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Gender:F
Credentials:PA
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Mailing Address - Street 1:39300 BOB HOPE DR
Mailing Address - Street 2:BANNAN BUILDING SUITE 1203
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3203
Mailing Address - Country:US
Mailing Address - Phone:760-773-9171
Mailing Address - Fax:760-773-3091
Practice Address - Street 1:39300 BOB HOPE DR
Practice Address - Street 2:BANNAN BUILDING SUITE 1203
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3203
Practice Address - Country:US
Practice Address - Phone:760-773-9171
Practice Address - Fax:760-773-3091
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-11
Last Update Date:2012-12-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant