Provider Demographics
NPI:1104443340
Name:SARAF, NAMITA
Entity type:Individual
Prefix:
First Name:NAMITA
Middle Name:
Last Name:SARAF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7404 BRAEMAR TER
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7330
Mailing Address - Country:US
Mailing Address - Phone:682-558-6384
Mailing Address - Fax:
Practice Address - Street 1:7404 BRAEMAR TER
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-7330
Practice Address - Country:US
Practice Address - Phone:682-558-6384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-04
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program