Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D35404 | MD |
Y | 111NI0900X | Internist | D35404 | MD |
N | 207RI0200X | Infectious Disease | D35404 | MD |
NPI | 1003815424 |
---|---|
Provider Name | Dr. Michael Anthony Sauri |
First Address | Rockville, MD 20850-6340 |
Second Address | Rockville, MD 20850-6340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 17/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
28214 | (05) | MD |
52-1534800 | TAXPAYER ID NUMBER (01) | MD |
B-26200 | (02) | MD |