Provider Demographics
NPI:1548342702
Name:SAINI, SAIRA (MD)
Entity type:Individual
Prefix:
First Name:SAIRA
Middle Name:
Last Name:SAINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2153 VALLEYGATE DR.
Mailing Address - Street 2:SUITE 103 CAROLINA PLASTIC SURGERY
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304
Mailing Address - Country:US
Mailing Address - Phone:910-323-1234
Mailing Address - Fax:
Practice Address - Street 1:2153 VALLEYGATE DR.
Practice Address - Street 2:SUITE 103 CAROLINA PLASTIC SURGERY
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304
Practice Address - Country:US
Practice Address - Phone:910-323-1234
Practice Address - Fax:910-323-5444
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-01764208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1245567833OtherCAROLINA PLASTIC SURGERY OF FAYETTEVILLE PC