Provider Demographics
NPI:1124154596
Name:ALDOORI, SARWA AMA (MD)
Entity type:Individual
Prefix:DR
First Name:SARWA
Middle Name:AMA
Last Name:ALDOORI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 SAN DIMAS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1298
Mailing Address - Country:US
Mailing Address - Phone:661-363-6800
Mailing Address - Fax:661-363-6888
Practice Address - Street 1:4040 SAN DIMAS ST
Practice Address - Street 2:SUITE A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-363-6800
Practice Address - Fax:661-363-6888
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94318207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1124154596Medicaid
CAA94318OtherLICENSE