Provider Demographics
NPI:1497901110
Name:SAIFOLLAHI, JAHANDAR (MD)
Entity Type:Individual
Prefix:MR
First Name:JAHANDAR
Middle Name:
Last Name:SAIFOLLAHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1596
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49016-1596
Mailing Address - Country:US
Mailing Address - Phone:269-969-6108
Mailing Address - Fax:269-969-8732
Practice Address - Street 1:SADDLE BACK CENTER, BUILDING 751-E KENMORE AVENUE, S.E.
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-2391
Practice Address - Country:US
Practice Address - Phone:616-977-1770
Practice Address - Fax:616-977-1775
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010794492084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology