| Sahaara, Inc. | |
|
8107 Astoria Blvd East Elmhurst NY 11370 | |
| (646) 386-6220 | |
| (917) 832-6598 |
| Full Name | Sahaara, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8107 Astoria Blvd, East Elmhurst, New York |
| Authorized Official Name and Position | Tanzia Mustafa (MD/OWNER) |
| Authorized Official Contact | 3472763801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sahaara, Inc. 2349 81st St East Elmhurst NY 11370-1620 Ph: (646) 386-6220 | Sahaara, Inc. 8107 Astoria Blvd East Elmhurst NY 11370 Ph: (646) 386-6220 |
| NPI Number | 1154996197 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Medicare PECOS PAC ID | 8123414505 |
|---|---|
| Medicare Enrollment ID | O20220412001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154996197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Tanzia Mustafa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194801308 PECOS PAC ID: 3072795731 Enrollment ID: I20110316001049 |
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