Provider Demographics
NPI:1952838138
Name:SAFFAR, MOHIMAN (MD)
Entity Type:Individual
Prefix:
First Name:MOHIMAN
Middle Name:
Last Name:SAFFAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:26850 PROVIDENCE PKWY STE 375
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1262
Mailing Address - Country:US
Mailing Address - Phone:248-662-4200
Mailing Address - Fax:248-662-0368
Practice Address - Street 1:26850 PROVIDENCE PKWY STE 375
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1262
Practice Address - Country:US
Practice Address - Phone:248-662-4200
Practice Address - Fax:248-662-0368
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301500950207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine