Provider Demographics
NPI:1275643405
Name:DHAMIJA, SARA SAROJ (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:SAROJ
Last Name:DHAMIJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAROJ
Other - Middle Name:
Other - Last Name:SEHGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7007
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-7007
Mailing Address - Country:US
Mailing Address - Phone:661-945-5984
Mailing Address - Fax:661-948-1574
Practice Address - Street 1:43839 15TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4756
Practice Address - Country:US
Practice Address - Phone:661-945-5984
Practice Address - Fax:661-948-1574
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51442207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C514420Medicaid
CAWC51442AMedicare ID - Type Unspecified
CA00C514420Medicaid