Provider Demographics
NPI:1679925101
Name:CENTER FOR INFECTIOUS DISEASES & IMMUNOLOGY, PA
Entity Type:Organization
Organization Name:CENTER FOR INFECTIOUS DISEASES & IMMUNOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-485-0064
Mailing Address - Street 1:6560 FANNIN ST STE 1014
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2775
Mailing Address - Country:US
Mailing Address - Phone:713-485-0064
Mailing Address - Fax:713-485-0685
Practice Address - Street 1:6560 FANNIN ST STE 1014
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2775
Practice Address - Country:US
Practice Address - Phone:713-485-0064
Practice Address - Fax:713-485-0685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2066207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty