Individual
MR. MAHMUD ABDULLAH SARDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5500 SO 6TH STREET, KLAMATH FALLS, OR 97603-7130
(541) 882-8863
Mailing address
2549 WATSON ST, KLAMATH FALLS, OR 97603-7130
(541) 882-8863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009589
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-4057706
TAX ID
OR
Enumeration date
10/25/2012
Last updated
10/25/2012
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