Provider Demographics
NPI:1689853046
Name:DARIUS SAGHAFI MD LLC
Entity Type:Organization
Organization Name:DARIUS SAGHAFI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGHAFI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-339-1633
Mailing Address - Street 1:251 7TH ST
Mailing Address - Street 2:SUITE C204
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-6534
Mailing Address - Country:US
Mailing Address - Phone:724-339-1633
Mailing Address - Fax:724-339-1170
Practice Address - Street 1:251 7TH ST
Practice Address - Street 2:SUITE C204
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-6534
Practice Address - Country:US
Practice Address - Phone:724-339-1633
Practice Address - Fax:724-339-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035245L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA541649OtherBCBS
C10795OtherRR MCARE
200532Medicare PIN