Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 003568 | GA |
Y | 2080P0210X | Pediatric Nephrologist | 45148 | TX |
NPI | 1710116975 |
---|---|
Provider Name | Adnan Safdar |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 12/08/2015 |