Provider Demographics
NPI:1538251434
Name:SALZBERG, SARITA (MD)
Entity type:Individual
Prefix:
First Name:SARITA
Middle Name:
Last Name:SALZBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1604 LANCASTER AVE # B
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2639
Mailing Address - Country:US
Mailing Address - Phone:614-943-3839
Mailing Address - Fax:866-421-8583
Practice Address - Street 1:466 DEL NORTE AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4125
Practice Address - Country:US
Practice Address - Phone:530-751-9355
Practice Address - Fax:530-751-9122
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME125687207R00000X
GA87607207R00000X
AZ62311207R00000X
IDM-15704207R00000X
NC2021-00088207R00000X
OH35.071312207R00000X
TXS9990207R00000X
UT12042657-1205207R00000X
WI72605-20207R00000X
CAC515642083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2517640OtherUNITED HEALTHCARE
CA90143591OtherPACIFICARE
CA1929162OtherFIRST HEALTH
CAC51564OtherBLUE CROSS
CA107215OtherHEALTH NET
CAMCMG362000OtherWESTERN HEALTH ADVANTAGE
CA1851069OtherGREAT WEST
CA5648504OtherCIGNA
CA239473OtherINTERPLAN
CA7826053OtherAETNA
CA107215OtherHEALTH NET
I18695Medicare UPIN