Provider Demographics
NPI:1770043291
Name:JALALI FARAHANI, SAHAR (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:
Last Name:JALALI FARAHANI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S 20TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-2608
Mailing Address - Country:US
Mailing Address - Phone:610-390-3008
Mailing Address - Fax:
Practice Address - Street 1:101 NICOLLS ROAD, HEALTH SCIENCES CENTER
Practice Address - Street 2:LEVEL 4
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8434
Practice Address - Country:US
Practice Address - Phone:631-444-2224
Practice Address - Fax:631-444-3419
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program