Sadeq Al-Sarraf, MD
Individual provider Active NPI Psychiatry Physician · Elkhart, IN
NPI 1447583455 · NPPES record last updated Jul 29, 2014
Key facts
- NPI
- 1447583455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 01073552A (IN)
- Practice address
- 2600 Oakland Ave
Elkhart, IN 46517-1533 - Phone
- (574) 533-1234
- Fax
- (574) 537-2652
- NPI assigned
- Sep 9, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01073552A | IN | Yes |
Addresses
Primary practice location
2600 Oakland Ave
Elkhart, IN 46517-1533
Mailing address
PO Box 809
Goshen, IN 46527-0809
Phone (574) 533-1234
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All providers in Elkhart, IN · Psychiatry Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.