Individual
DR. IHSAN OMER SAFI
Active
Individual
DR. IHSAN OMER SAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101049197
VA
207R00000X
Internal Medicine Physician
Primary
0101049197
VA
207R00000X
Internal Medicine Physician
17223
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075603000
—
WV
01
—
041530
ANTHEM BCBS OF VA
VA
01
—
541672919
TAX ID
VA
05
—
SA4038681
—
WV
Enumeration date
03/23/2006
Last updated
01/27/2010
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