Provider Demographics
NPI:1558549246
Name:DR. SAFADI & ASSOCIATES, INC
Entity Type:Organization
Organization Name:DR. SAFADI & ASSOCIATES, INC
Other - Org Name:GHASSAN S. SAFADI, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAFADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-843-7780
Mailing Address - Street 1:PO BOX 352108
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43635-2108
Mailing Address - Country:US
Mailing Address - Phone:419-427-2900
Mailing Address - Fax:419-517-0216
Practice Address - Street 1:1818 CHAPEL DR
Practice Address - Street 2:STE A
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1335
Practice Address - Country:US
Practice Address - Phone:419-427-2900
Practice Address - Fax:419-517-0216
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. SAFADI & ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35062753207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9340602Medicare PIN