Provider Demographics
NPI:1790780542
Name:SAFEER, RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:SAFEER
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 1:6704 CURTIS CT
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-6406
Mailing Address - Country:US
Mailing Address - Phone:410-762-1643
Mailing Address - Fax:410-424-4958
Practice Address - Street 1:6704 CURTIS CT
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-6406
Practice Address - Country:US
Practice Address - Phone:410-762-1643
Practice Address - Fax:410-424-4958
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047456207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5634466Medicaid
DC4410300Medicaid
MD515021300Medicaid
VA5634466Medicaid
MD515021300Medicaid