Provider Demographics
NPI:1932233996
Name:SAIFUDDIN, SABIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SABIRA
Middle Name:
Last Name:SAIFUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SABIRA
Other - Middle Name:
Other - Last Name:SAIFUDDIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2660 TOWNSGATE RD
Mailing Address - Street 2:SUITE 780
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2714
Mailing Address - Country:US
Mailing Address - Phone:805-341-3416
Mailing Address - Fax:
Practice Address - Street 1:2660 TOWNSGATE RD
Practice Address - Street 2:SUITE 780
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2714
Practice Address - Country:US
Practice Address - Phone:805-341-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA616472084P0005X, 2084P0800X, 2084P0802X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0005XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurodevelopmental Disabilities
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry