Provider Demographics
NPI:1154399640
Name:SARMA, SATYA (MD)
Entity type:Individual
Prefix:
First Name:SATYA
Middle Name:
Last Name:SARMA
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 1:23114 N CARDENAS DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-7213
Mailing Address - Country:US
Mailing Address - Phone:623-337-4320
Mailing Address - Fax:
Practice Address - Street 1:23114 N CARDENAS DR
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-7213
Practice Address - Country:US
Practice Address - Phone:623-337-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22681207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0385200OtherBCBS OF AZ
F90389Medicare UPIN
ZMD22681Medicare ID - Type Unspecified