Provider Demographics
NPI:1154306132
Name:SARAMA, ROBERT F (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:SARAMA
Suffix:
Gender:M
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:PO BOX 14824
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71207
Mailing Address - Country:US
Mailing Address - Phone:318-323-1362
Mailing Address - Fax:318-323-9875
Practice Address - Street 1:3420 MEDICAL PARK DR
Practice Address - Street 2:STE 31
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203
Practice Address - Country:US
Practice Address - Phone:318-323-1362
Practice Address - Fax:318-323-9875
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05680R207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1324531Medicaid
B61763Medicare UPIN
LA1324531Medicaid