Provider Demographics
NPI:1861590176
Name:SAFFARIAN, AMIR (MD)
Entity type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:SAFFARIAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:18181 BUTTERFIELD BLVD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-8103
Mailing Address - Country:US
Mailing Address - Phone:408-779-2009
Mailing Address - Fax:408-779-2011
Practice Address - Street 1:18181 BUTTERFIELD BLVD
Practice Address - Street 2:SUITE 185
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-8103
Practice Address - Country:US
Practice Address - Phone:408-779-2009
Practice Address - Fax:408-779-2011
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-02-28
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Provider Licenses
StateLicense IDTaxonomies
CAA65914208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP264AOtherPTAN
CAH71790Medicare UPIN
CA1861590176Medicare NSC