Provider Demographics
NPI:1730744053
Name:SANJARI, SAIED ANDREW (DO)
Entity type:Individual
Prefix:
First Name:SAIED
Middle Name:ANDREW
Last Name:SANJARI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 MARWOOD RD STE 5000
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:PA
Mailing Address - Zip Code:16023-2264
Mailing Address - Country:US
Mailing Address - Phone:724-352-4448
Mailing Address - Fax:
Practice Address - Street 1:134 MARWOOD RD
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:PA
Practice Address - Zip Code:16023-2245
Practice Address - Country:US
Practice Address - Phone:724-352-1571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.031046207R00000X
PAOS022000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine