Provider Demographics
NPI:1417335241
Name:SADAF, LLC
Entity Type:Organization
Organization Name:SADAF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRWOMAN
Authorized Official - Prefix:
Authorized Official - First Name:SADAF
Authorized Official - Middle Name:S
Authorized Official - Last Name:IJAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-470-2635
Mailing Address - Street 1:5047 WILLOWS GREEN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059
Mailing Address - Country:US
Mailing Address - Phone:703-470-2635
Mailing Address - Fax:
Practice Address - Street 1:1017 ELM ST
Practice Address - Street 2:
Practice Address - City:WELDON
Practice Address - State:NC
Practice Address - Zip Code:27890-1911
Practice Address - Country:US
Practice Address - Phone:703-470-2635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-022722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty