Provider Demographics
NPI:1366600710
Name:ABDELQADER, SAHAR ABDALLAH (MD)
Entity type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:ABDALLAH
Last Name:ABDELQADER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2101 KEN PRATT BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6568
Mailing Address - Country:US
Mailing Address - Phone:303-649-3500
Mailing Address - Fax:303-649-3501
Practice Address - Street 1:2101 KEN PRATT BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6568
Practice Address - Country:US
Practice Address - Phone:303-649-3500
Practice Address - Fax:303-649-3501
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCDR.0000398208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46872353Medicaid