Sara Abolmolouk, MD

Individual provider Active NPI Family Medicine Physician · Tucson, AZ

NPI 1497043715 · NPPES record last updated Jul 20, 2011

Key facts

NPI
1497043715
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
R72788 (AZ)
Practice address
3300 N Paseo de Los Rios
4205
Tucson, AZ 85712-6051
Phone
(818) 404-4247
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R72788AZMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R72788 AZ Yes

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

Other providers in Tucson, AZ

All providers in Tucson, AZ · Family Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.