Provider Demographics
NPI:1619729480
Name:SAEF, MOADH (MD)
Entity Type:Individual
Prefix:
First Name:MOADH
Middle Name:
Last Name:SAEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOAZ
Other - Middle Name:
Other - Last Name:SAEF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3414 S FAIRFAX RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307-8114
Mailing Address - Country:US
Mailing Address - Phone:661-578-1926
Mailing Address - Fax:
Practice Address - Street 1:3414 S FAIRFAX RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307-8114
Practice Address - Country:US
Practice Address - Phone:661-578-1926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program