Provider Demographics
NPI:1568985737
Name:SEMNANI, SAHAR (MD)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:SEMNANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5410 MARYLAND WAY STE 301
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5339
Mailing Address - Country:US
Mailing Address - Phone:615-235-1265
Mailing Address - Fax:
Practice Address - Street 1:60 E RIO SALADO PKWY STE 300
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-9130
Practice Address - Country:US
Practice Address - Phone:615-673-4455
Practice Address - Fax:615-432-4651
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA169746207RN0300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology