Individual
BAHAR SADJADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 N 15TH ST, MAIL STOP 427, PHILADELPHIA, PA 19102-1101
(215) 762-7698
Mailing address
2100 WALNUT ST, APARTMENT 6I, PHILADELPHIA, PA 19103-4810
(510) 918-7447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD458853
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO1762008
RAILROAD MEDICARE
PA
Enumeration date
06/22/2013
Last updated
03/07/2017
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