Provider Demographics
NPI:1568500924
Name:SARDAR, ASJAD (MD)
Entity Type:Individual
Prefix:
First Name:ASJAD
Middle Name:
Last Name:SARDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2149 E WARNER RD
Mailing Address - Street 2:STE 102
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3495
Mailing Address - Country:US
Mailing Address - Phone:480-610-6134
Mailing Address - Fax:480-610-6189
Practice Address - Street 1:395 N SILVERBELL RD STE 209
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2719
Practice Address - Country:US
Practice Address - Phone:520-623-2642
Practice Address - Fax:520-327-9300
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ35315207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ122294Medicaid