Provider Demographics
NPI:1427029883
Name:VAKKALANKA, SARAH K (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:VAKKALANKA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:18800 DELAWARE STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648
Mailing Address - Country:US
Mailing Address - Phone:714-707-3314
Mailing Address - Fax:714-707-3374
Practice Address - Street 1:18800 DELAWARE STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648
Practice Address - Country:US
Practice Address - Phone:714-707-3314
Practice Address - Fax:714-707-3374
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2019-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA94411207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI17275Medicare UPIN