Provider Demographics
NPI:1699749283
Name:SARIN, SALAISH K (MD)
Entity type:Individual
Prefix:
First Name:SALAISH
Middle Name:K
Last Name:SARIN
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 1:2460 TOWNCREST DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6622
Mailing Address - Country:US
Mailing Address - Phone:319-338-7862
Mailing Address - Fax:
Practice Address - Street 1:2460 TOWNCREST DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6622
Practice Address - Country:US
Practice Address - Phone:319-338-7862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA34047207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA27824OtherBLUE CROSS/BLUE SHIELD
IA0230177Medicaid
IA0230177Medicaid
IAH34381Medicare UPIN
IABS7219822OtherDEA