Provider Demographics
NPI:1477586899
Name:KASIRYE, OLIVIA CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:CATHERINE
Last Name:KASIRYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7001A EAST PKWY
Mailing Address - Street 2:STE 600
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2501
Mailing Address - Country:US
Mailing Address - Phone:916-875-5881
Mailing Address - Fax:916-875-4069
Practice Address - Street 1:7001A EAST PKWY
Practice Address - Street 2:STE 600
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2501
Practice Address - Country:US
Practice Address - Phone:916-875-5881
Practice Address - Fax:916-875-4069
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA624132083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine