Provider Demographics
NPI:1982700837
Name:SAFDAR, AMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AMAR
Middle Name:
Last Name:SAFDAR
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 1:6560 FANNIN ST STE 1014
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2775
Mailing Address - Country:US
Mailing Address - Phone:713-485-0064
Mailing Address - Fax:713-485-0685
Practice Address - Street 1:6560 FANNIN ST STE 1014
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2775
Practice Address - Country:US
Practice Address - Phone:713-485-0064
Practice Address - Fax:713-485-0685
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200944207RI0200X
TXM2066207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G20089Medicare UPIN
8A0310Medicare ID - Type Unspecified
TX153965201Medicaid