Provider Demographics
NPI:1588970222
Name:SAREMI, ADONIS SIAVASH (MD)
Entity type:Individual
Prefix:
First Name:ADONIS
Middle Name:SIAVASH
Last Name:SAREMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 PLAINVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-1559
Mailing Address - Country:US
Mailing Address - Phone:714-336-1246
Mailing Address - Fax:
Practice Address - Street 1:5150 PLAINVIEW RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-1559
Practice Address - Country:US
Practice Address - Phone:714-336-1246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119128207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine