Individual
TAHER MIR SAIFULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 S FAIR OAKS AVE STE 230, PASADENA, CA 91105-2663
(626) 469-2939
(626) 469-2956
Mailing address
625 S FAIR OAKS AVE STE 230, PASADENA, CA 91105-2663
(626) 469-2939
(626) 469-2956
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036143421
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A153944
CA
Other
Enumeration date
05/21/2013
Last updated
10/28/2021
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