Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME 121425 | FL |
Y | 2080P0208X | Pediatric Infectious Diseases | DR.0060732 | CO |
NPI | 1093004186 |
---|---|
Provider Name | Sara Rachelle Saporta-Keating |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2011 |
Last Update Date | 27/08/2018 |