Provider Demographics
NPI:1902880628
Name:SAYDJARI, RAZI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAZI
Middle Name:
Last Name:SAYDJARI
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 1:6861 TREVETT LN
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-5473
Mailing Address - Country:US
Mailing Address - Phone:307-262-7904
Mailing Address - Fax:
Practice Address - Street 1:6600 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4348
Practice Address - Country:US
Practice Address - Phone:307-234-6554
Practice Address - Fax:307-234-6557
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY4229A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYMM3715OtherMEDICARE
E15342Medicare UPIN