Provider Demographics
NPI:1730721853
Name:SARAMED LLC
Entity type:Organization
Organization Name:SARAMED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMREENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-678-3293
Mailing Address - Street 1:24 BURNING TREE DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-1576
Mailing Address - Country:US
Mailing Address - Phone:509-961-3849
Mailing Address - Fax:509-426-2160
Practice Address - Street 1:7600 FERN AVE STE 700A
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5673
Practice Address - Country:US
Practice Address - Phone:318-657-0187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty