Provider Demographics
NPI:1033194345
Name:SAY, DORIS SY (MD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:SY
Last Name:SAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1355 FLORIN RD
Mailing Address - Street 2:SUITE # 16
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-4231
Mailing Address - Country:US
Mailing Address - Phone:916-424-9446
Mailing Address - Fax:916-424-9039
Practice Address - Street 1:1355 FLORIN RD
Practice Address - Street 2:SUITE # 16
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4231
Practice Address - Country:US
Practice Address - Phone:916-424-9446
Practice Address - Fax:916-424-9039
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2014-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52776208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A527760Medicaid
CA00A527760Medicaid