Safavi-Abbasi, Sam

Safavi-Abbasi, Sam is an individual health care provider with primary practice located at 1001 Willow Creek Rd Ste 3300 , Prescott AZ 86301-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Safavi-Abbasi, Sam can be contacted via phone (928) 458-2996.

Contact Information

Primary practice address
1001 Willow Creek Rd Ste 3300 Prescott AZ 86301-1614
Phone: (928) 458-2996
Fax: (928) 458-2135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 49003 Arizona

Profile Details

NPI number 1689870990
LBN Legal business name Safavi-Abbasi, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2007
Last updated Feb 10th, 2025 - about last year

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 1689870990 NPPES
Arizona MEDICAID 907411

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