Individual
DR. FARROKH S SADR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 W CHEW ST, SUITE 409, ALLENTOWN, PA 18102-3472
(610) 770-3130
(610) 770-3452
Mailing address
421 W CHEW ST, ALLENTOWN, PA 18102-3406
(610) 776-5100
(610) 663-3113
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD017013E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040189000
IBC
—
05
—
1007777690004
—
PA
01
—
151312
HIGHMARK BLUE SHIELD
—
01
—
1526085
GATEWAY HEALTH PLAN
—
01
—
159744
UNISON
—
01
—
20033760
AMERIHEALTH MERCY
—
01
—
50049421
CBC
—
01
—
P00099038
RR MEDICARE
—
Enumeration date
10/25/2005
Last updated
10/23/2007
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