Provider Demographics
NPI:1114622008
Name:CHUECOS ESCALANTE, SARAI SIENIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAI
Middle Name:SIENIE
Last Name:CHUECOS ESCALANTE
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 1:8913 WALTHAM WOODS RD APT C
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-2452
Mailing Address - Country:US
Mailing Address - Phone:786-344-7760
Mailing Address - Fax:
Practice Address - Street 1:1950 W POLK ST FL 6
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3723
Practice Address - Country:US
Practice Address - Phone:312-864-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program