Provider Demographics
NPI:1417936188
Name:SEEGER, SARA SUMIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:SUMIE
Last Name:SEEGER
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 1:3274 WILSHIRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002
Mailing Address - Country:US
Mailing Address - Phone:530-222-3029
Mailing Address - Fax:
Practice Address - Street 1:3274 WILSHIRE DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-2404
Practice Address - Country:US
Practice Address - Phone:530-222-0117
Practice Address - Fax:530-223-6476
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG696562084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F83973Medicare UPIN
00G696560Medicare ID - Type Unspecified