Mona Sarrai, M.D.
Individual provider Active NPI Internal Medicine Physician · San Fidel, NM
NPI 1760429583 · NPPES record last updated Feb 13, 2015
Key facts
- NPI
- 1760429583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 238371 (NY)
- Practice address
- 80 B Veterans Blvd
San Fidel, NM 87049-0130 - Phone
- (505) 552-5300
- Fax
- (505) 552-5490
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haaku Health | Past |
Accepting new patients | |
| Phelps Memorial Hospital Association | Past | Accepting new patients | |
| Phelps Memorial Hospital Association | Internal Medicine | Past | Accepting new patients |
| American Comprehensive Healthcare Medical Group PC | Past |
Accepting new patients | |
| Nuvance Health Medical Practice PC | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 238371 | NY | Yes |
Addresses
Primary practice location
80 B Veterans Blvd
San Fidel, NM 87049-0130
Mailing address
PO Box 130
Attn Acl Provider Enrollment
San Fidel, NM 87049-0130
Phone (505) 552-5300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H3451 | Medicaid | NM | |
| 02719822 | Medicaid | NY |
Other providers in San Fidel, NM
- Francine M Morris
- Domineque D Nunez
- Jullliene Reed-Tso
- Susan Ann Russell
- Melissa M Salinas
- Linda Maurine Schultz
- Scarlet Danielle Southern
- Francis Charles Steyaert
- Alan Filip Tatz
- Judith Thierry
All providers in San Fidel, NM · Internal Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2015. 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.