Provider Demographics
NPI:1013367135
Name:SARKESHIK, AMIR ALI (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:ALI
Last Name:SARKESHIK
Suffix:
Gender:M
Credentials:DO, MS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2900 WHIPPLE AVE STE 140
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-2844
Practice Address - Country:US
Practice Address - Phone:650-261-2366
Practice Address - Fax:650-261-2369
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A15894208G00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program