Provider Demographics
NPI:1447002225
Name:FERDOWS, SAZIA
Entity type:Individual
Prefix:
First Name:SAZIA
Middle Name:
Last Name:FERDOWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2377 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4542
Mailing Address - Country:US
Mailing Address - Phone:562-401-3318
Mailing Address - Fax:
Practice Address - Street 1:331 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:CHITTENANGO
Practice Address - State:NY
Practice Address - Zip Code:13037-1201
Practice Address - Country:US
Practice Address - Phone:315-687-7255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP127546207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine