Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A118322 | CA |
NPI | 1013163229 |
---|---|
Provider Name | Sinan Sarsam |
First Address | Farmington Hills, MI 48334-1242 |
Second Address | Temecula, CA 92590-5535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 16/07/2020 |