Provider Demographics
NPI:1598061228
Name:ALIF SARAH, MD PC
Entity type:Organization
Organization Name:ALIF SARAH, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIF
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SARAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-297-9813
Mailing Address - Street 1:2001 W ORANGE GROVE RD
Mailing Address - Street 2:SUITE 612
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1139
Mailing Address - Country:US
Mailing Address - Phone:520-297-9813
Mailing Address - Fax:520-297-0705
Practice Address - Street 1:2001 W ORANGE GROVE RD
Practice Address - Street 2:SUITE 612
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1139
Practice Address - Country:US
Practice Address - Phone:520-297-9813
Practice Address - Fax:520-297-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ26419207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ60311Medicare PIN