Provider Demographics
NPI:1760427033
Name:SARFRAZ, NAEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:NAEEM
Middle Name:
Last Name:SARFRAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 POST RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5730
Mailing Address - Country:US
Mailing Address - Phone:203-254-9454
Mailing Address - Fax:
Practice Address - Street 1:2000 POST RD
Practice Address - Street 2:SUITE 202
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5730
Practice Address - Country:US
Practice Address - Phone:203-254-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036856207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP971651OtherOXFORD PROVIDER ID NO.
CT3452002OtherAETNA PROVIDER ID NO.
CT010036856CT06OtherBCBS PROVIDER ID NO.
CT8473300004OtherCIGNA PROVIDER ID NO.
CT036856OtherCONNECTICARE PROVIDER ID
CT2V4501OtherHEALTHNET PROVIDER ID NO.
CT94S771OtherEMPIRE PROVIDER ID NO.
CT94S771OtherEMPIRE PROVIDER ID NO.