Provider Demographics
NPI:1770896722
Name:SAZGAR, SASAN (MD)
Entity type:Individual
Prefix:DR
First Name:SASAN
Middle Name:
Last Name:SAZGAR
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 1:11348 N VIA VENTANA WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-8834
Mailing Address - Country:US
Mailing Address - Phone:310-736-8842
Mailing Address - Fax:
Practice Address - Street 1:1660 E HERNDON AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3346
Practice Address - Country:US
Practice Address - Phone:559-431-9753
Practice Address - Fax:559-431-3478
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123295207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease