Active NPI
Sara Abolmolouk, MD
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1497043715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R72788
- Practice address
- 3300 N Paseo de Los Rios
4205
Tucson, AZ 85712-6051 - Phone
- (818) 404-4247
- NPI assigned
- Jul 20, 2011
- Last updated
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R72788 | AZ | Primary |
Addresses
Primary practice location
3300 N Paseo de Los Rios
4205
Tucson, AZ 85712-6051
Mailing address
3300 N Paseo de Los Rios
#4205
Tucson, AZ 85712-6051
Phone (818) 404-4247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72788 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1497043715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 N PASEO DE LOS RIOS",
"address_2": "#4205",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126051",
"telephone_number": "818-404-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N PASEO DE LOS RIOS",
"address_2": "4205",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126051",
"telephone_number": "818-404-4247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOLMOLOUK",
"first_name": "SARA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "R72788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.