Bazargan, Sadaf

Bazargan, Sadaf is an sole proprietor health care provider with primary practice located at 17551 N Dale Mabry Hwy , Lutz FL 33548-4521. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Bazargan, Sadaf can be contacted via phone (813) 454-4044.

Contact Information

Primary practice address
17551 N Dale Mabry Hwy Lutz FL 33548-4521
Fax: (813) 265-3937
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME89013 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X ME89013 Florida

Profile Details

NPI number 1265461941
LBN Legal business name Bazargan, Sadaf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Nov 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265461941 NPPES
Florida MEDICAID 268419500
Florida Other 82620

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