Provider Demographics
NPI:1467649335
Name:PRATAP SARAF MD, INC.
Entity Type:Organization
Organization Name:PRATAP SARAF MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRATAP
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-445-0939
Mailing Address - Street 1:622 W DUARTE RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7606
Mailing Address - Country:US
Mailing Address - Phone:626-445-0939
Mailing Address - Fax:626-445-0546
Practice Address - Street 1:622 W DUARTE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7606
Practice Address - Country:US
Practice Address - Phone:626-445-0939
Practice Address - Fax:626-445-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30943207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA87484Medicare UPIN