Provider Demographics
NPI:1427729185
Name:TSEGAY, SARA K
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:K
Last Name:TSEGAY
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 1:1211 UNION AVE STE 495
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6656
Mailing Address - Country:US
Mailing Address - Phone:901-507-6600
Mailing Address - Fax:901-507-6599
Practice Address - Street 1:1211 UNION AVE STE 495
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-6656
Practice Address - Country:US
Practice Address - Phone:901-507-6600
Practice Address - Fax:901-507-6599
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant