Provider Demographics
NPI:1790180479
Name:LOHRASBI, SAFA (DO)
Entity Type:Individual
Prefix:
First Name:SAFA
Middle Name:
Last Name:LOHRASBI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SE JOHNSON AVE
Mailing Address - Street 2:PO BOX 2678
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4854
Mailing Address - Country:US
Mailing Address - Phone:509-594-5633
Mailing Address - Fax:509-594-5633
Practice Address - Street 1:200 SE HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2346
Practice Address - Country:US
Practice Address - Phone:772-288-7520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT60560207V00000X
NY299257207VG0400X
FL20083207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology