Provider Demographics
NPI:1366035214
Name:ZOSANGPUII, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ZOSANGPUII
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8336 S LEWIS AVE APT 405
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1503
Mailing Address - Country:US
Mailing Address - Phone:202-746-1578
Mailing Address - Fax:
Practice Address - Street 1:8336 S LEWIS AVE APT 405
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-1503
Practice Address - Country:US
Practice Address - Phone:202-746-1578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional