Provider Demographics
NPI:1467626986
Name:AZAR, SARA SOLMAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:SOLMAZ
Last Name:AZAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SOLMAZ
Other - Middle Name:
Other - Last Name:BAGHERZADEH AZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:PROBST BUILDING, SUITE 308
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-346-5688
Mailing Address - Fax:
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:PROBST BUILDING, SUITE 308
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-346-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102790207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine