Active NPI
Daim Khushal Sardar, M.D.
- Student in an Organized Health Care Education/Training Program
- Buffalo, NY
National Provider Identifier
1386336543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 462 Grider Street
Internal Medicine Residency Education Office
Buffalo, NY 14215 - Phone
- (716) 898-4578
- Fax
- (716) 898-3279
- NPI assigned
- May 24, 2023
- Reactivated
- Feb 6, 2024
- Last updated
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
462 Grider Street
Internal Medicine Residency Education Office
Buffalo, NY 14215
Mailing address
462 Grider Street
Internal Medicine Residency Education Office
Buffalo, NY 14215
Phone (716) 898-4578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1386336543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 GRIDER STREET",
"address_2": "INTERNAL MEDICINE RESIDENCY EDUCATION OFFICE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14215",
"telephone_number": "716-898-4578",
"fax_number": "716-898-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER STREET",
"address_2": "INTERNAL MEDICINE RESIDENCY EDUCATION OFFICE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14215",
"telephone_number": "716-898-4578",
"fax_number": "716-898-3279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDAR",
"first_name": "DAIM",
"middle_name": "KHUSHAL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2024-02-06",
"certification_date": "2023-05-24",
"deactivation_date": "2023-12-26",
"reactivation_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.