Provider Demographics
NPI:1093380867
Name:SARICI, KUBRA (MD)
Entity Type:Individual
Prefix:MRS
First Name:KUBRA
Middle Name:
Last Name:SARICI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26525 AMHEARST CIRCLE EASTHEAVEN AT THE VILLAGE
Mailing Address - Street 2:APT 05-208 BEACHWOOD- CLEVELAND
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-0001
Mailing Address - Country:US
Mailing Address - Phone:216-387-7936
Mailing Address - Fax:
Practice Address - Street 1:26525 AMHEARST CIR APT 5-208
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-8506
Practice Address - Country:US
Practice Address - Phone:216-387-7936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALT000878207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology