Individual
MONA SARRAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 B VETERANS BLVD, SAN FIDEL, NM 87049-0130
(505) 552-5300
(505) 552-5490
Mailing address
PO BOX 130, ATTN ACL PROVIDER ENROLLMENT, SAN FIDEL, NM 87049-0130
(505) 552-5300
(505) 552-5490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
238371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02719822
—
NY
05
—
H3451
—
NM
Enumeration date
06/01/2006
Last updated
02/13/2015
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