Organization
MSALAM M SARA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MSALAM MTANOUS SARA MD (OWNER)
(408) 610-2001
Entity
Organization
Contact information
Practice address
2550 SAMARITAN DR STE D, SAN JOSE, CA 95124-4104
(408) 298-0433
(408) 295-8818
Mailing address
PO BOX 33142, LOS GATOS, CA 95031-3142
(408) 610-2001
(408) 610-3880
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A72788
STATE LICENSE
CA
Enumeration date
01/08/2019
Last updated
03/07/2019
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